Thank you very much for your kind question.
It is very difficult to comment here. I am not sure what was discussed at your consultations and what the agreed operative plan was.
Generally, most Plastic Surgeons will view a labia minora reduction, a labia majora reduction and a clitoral hood reduction as three separate procedures. Depending on a patient's anatomy and wishes, some of these can be combined together but often the surgeon may decide it is in the patient's best interests to perform them as a staged procedure.
Obviously each one is a technically intricate procedure that would usually be costed separately.
Please do speak to your surgeon once more and discuss your concerns and wishes
Paul Banwell, Consultant Plastic Surgeon, London, UK