Indeed labiaplasty can and frequently is performed on just one side, essentially no one is perfectly symmetric. Prices vary by region and frequenltly also according to surgeon experience. Surgical prices vary by region, surgeon, and surgical experience. I currently charge $4500 for bilateral labiaplasty ($3000 for unilateral) and additional fees if a clitoral hoodectomy is also required. I have been performing this procedure for 14 years in Beverly Hills, CA as one of my specialties. I also authored a book on it a couple of years ago. Because the surgery appears simple, there are many physicians nowadays offering up their services for labiaplasty. Keep in mind however that the first time around has the absolute best chance for success and that revisions are very difficult. Finally, if done correctly labiaplasty should in no way affect childbearing or delivery. Glad to help.