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How Do I Know if I Need Labiaplasty?

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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.

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.

Gary J. Alter, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 15 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. 



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 12 reviews

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
5.0 out of 5 stars 4 reviews

Reasons to get Labiaplasty

Women get labiaplasty because they do not like the way their labia look, or if the labia causes discomfort because of its size

Labia come in all shapes and sizes, and sometimes women feel very self-conscious about the appearance of an excessively large labia.  They approach us and most often request that the labia minora (inner labia) is trimmed so that it doesn't stick out from in between the outer labia.

Sometimes the labia can cause discomfort during sex, physical activity such as bike or horseback riding, or it may be getting caught in clothes.  These patients are often very frustrated with their labia and request that we trim as much as possible and don't care how much is left behind (if any).


Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 289 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 24 reviews

Do I need a labiaplasty?

The strongest reasons to "need" a labiaplasty are the presence of functional issues. These include, hygiene problems, rashes, chafing, bleeding, and difficulty wearing clothing. Problems with intercourse and dyspareunia (pain with intercourse) is also a primary reason to pursue labiaplasty. Labial tears during childbirth are another strong indication for a labiaplasty.

Otherwise, and in the majority of cases, a labiaplasty procedure (with or without a clitoral hoodectomy) is performed for cosmetic reasons. There is a wide range of "normal" appearing vulvar anatomy. More recently, with the increased incidence of nudity online, more and more women desire a "neat" appearance to the vulva. This is most commonly expressed as the inability to see the inner labia and clitoris while standing, with full outer labia (or labia majora). All of these aesthetic goals can be achieved with a thoughtful labiaplasty.

Find a plastic surgeon whom you feel comfortable with. I have turned many women down from labiaplasty surgery after providing reassurance and education on the range of "normal" but a consultation may help you to feel better about your appearance and address your concerns.

Do I Need A Labiaplasty?

Dear Savannah, Thank you for posting your interesting question. There is considerable variation of what is considered normal labia. With the increase of waxing this area and watching "movies", woman have exposed this area and the size, hyperpigmentation and asymmetries have become more evident. The Labia Reduction procedure is done for woman, because men do not complain about this. With over 15 years experience performing Labiaplasty, I would venture to say that your labia minora are probably normal, but may be larger than average when compared to other woman on a Bell shaped curve. It is a personal choice and comes down to whether you would feel more comfortable, in intimate situations, if your labia were reduced. I recommend that you have a consultation with a Board Certified Plastic Surgeon who can examine you and provide some treatment options.Sincerely, Dr. Richard Wellington Swift

How Do I Know if I Need Labiaplasty?

Thank you for your question. There is a wide variation in the size and appearance of a women's anatomy. Some women may have, or develop, enlarged or asymmetrical labia that can make exercise, sexual intercourse, or wearing certain types of clothing difficult. In these instances, a labiaplasty allows for a reduction in the size of the labia, while also making a more symmetrical pairing.  A consultation with a board certified plastic surgeon, who could perform a physical exam, would be able to give you a more definitive opinion.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 7 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.