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How Do I Know if I Need Labiaplasty?

Doctor Answers (36)

Do I need labiaplasty?


A labiaplasty is usually done if the woman is self-conscious of the size or protrusion of the inner lips.  Most of these women also complain of discomfort of the labia minora with clothes, exercise, or sex.  Any of these reasons are sufficient to justify a labiaplasty.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 8 reviews

Most patients who come to me regarding a labioplasty are self conscious because of the length of their labia minora.


They complain of discomfort in tight clothing and being self-conscious in a bathing suite.  They sometimes have feel they have to "tuck themselves i'n to avoid irritation.  Some patients just don't like the aesthetic appearance. 


Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 31 reviews



No woman needs a Labiaplasty, unless they are very  self conscious and it is troublesome. 

If the large, long, or stretched out labia minora are being pinched or irritated:

  1. with certain clothing ,
  2. while sitting,
  3. during certain physical activities, or
  4. during sex

Then labiaplasty may be an option for you.

Carlos Cordoba, MD
Montreal Plastic Surgeon
5.0 out of 5 stars 7 reviews

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You don't need labiaplasty if you have no complaints


If you have no complaints, then YOU DO NOT NEED THE SURGERY.

You should treat what bothers you, not have the surgery because it can be done.

Any surgery is a major decision with potential risks and complications.

Samir Shureih, MD
Baltimore Plastic Surgeon

Do you NEED a labiaplasty


Thanks for your question.

As many of the other plastic surgeons have pointed out. Very rarely does anyone *need* a labiaplasty (though I have had several patients treated in my San Francisco area practice who have had significant labial tears from childbirth or other surgeries who had insurance covered labiaplasty).

More commonly labiaplasty is for cosmetic reasons though we commonly have patients describe pain during sex or sitting who have had significant improvement.

Asymmetry of the labia minora can also cause self image issues that some women may wish to seek surgery to improve.

For the vast majority of women this can be considered a cosmetic procedure. Find a board certified plastic surgeon to discuss your concerns and needs.

I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 23 reviews

It is a matter of opinion.



Few women "need" a labiaplasty, but some women are bothered by the size of the vaginal lips (Labia minorae.) In some cases they rub and hurt with tight clothing, small underwear and/or sexual interactions. The "normal" variation in the size of the Labia minorae is pretty large and when women carried more hair "down there" in years gone by (ten to twenty years ago) there was little if any interest in the operation.

This is an issue of "function meets fashion." I do them as reductions for size and the patients do well. I am not a believer in internal vaginal surgery but that is a matter of opinion.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 23 reviews

Labiaplasty need

Patients who desire labiaplasty are bothered by the excess tissue of the labia minora.  It may be painful with exercise or sexual activity, it may be visible in bathing suits, or the patient may feel that it is simply unattractive.  Some are bothered that it has grown substantially after having children.  In all of these cases the patients are typically very pleased with the improvements they get from labiaplasty.

David Stoker, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 19 reviews

It's How You Perceive Your Genital Area

Most of the women who had labiaplasty stated their reasons for undergoing surgery were primarily to ease the discomfort caused by such things as clothing, sexual activity and sports, to enhance their appearance and boost their self esteem. They also wanted to feel "more normal" and increase their sexual pleasure. Your reasons for deciding to undergo labia surgery are personal and may not have been listed above. However, if you feel that the size and shape of your external genital structures are causing you discomfort, irritation, embarrassment and general unhappiness, having labiaplasty may be the right decision for you to make in order to address these troubling concerns.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 53 reviews

Need for labiaplasty?

Labiaplastiy is a surgical operation usually done to reduce the size of the labia minora.  Many women are self conscious of this area of their anatomy.  Sometimes there may be discomfort.  This operation should be done by one who is familiar with the anatomy, risks/benefits of the operation. Best to see a board certified plastic surgeon. Together you will review the goals and see if this is a reasonable option for you.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 7 reviews

How do I know I need labiaplasty

I specialize in labiaplasty and there are a lot of reasons my patients seek surgery.  Some patients were born with either excess tissue or asymmetry. Some of these patients feel that the excess labia tissue rubs in jeans, causes discomfort with exercise, or shows in leggings and bathing suits. Other women had changes with childbirth and would like to restore their pre-pregnancy look.  Some women get labiaplasty for purely cosmetic reasons and to feel more self confident during intimacy.  Whatever the reason, I truly feel that this surgery helps improve women's quality of life.

Catherine Huang-Begovic, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.