Q: Can the labia majora be brought surgically closer together? A: Yes, it can be done surgically by eliminating the cause of this situation. I'm answering your question not for marketing my practice but to help you and other women. Picture no. 2 shows the reasons why your labia majora looked un-naturally when the legs are spread because there are identifiable anatomical aberrations. I will evaluate photo no. 2 from the top down:  a) The clitoral prepuce (the clitoral hood) is enlarged, protruding, and redundant prepuce tissue is present, b) The labia minora is more prominent than expected and significantly protrudes above the labia majora. This anatomy configuration is pushing away laterally of the labia majora, c) The labia majora is too tiny in this case to hide the protruding the labia minora over the labia majora.  The solution is to do the following operations at the same time: 1. The clitoral prepuce reduction, 2. Addressing redundant tissues of the clitoral prepuce, 3. The labia minora labioreduction is also in order. At this moment, you do not like to have any surgery on the labia minora, and I accept your decision. However, if you change your mind, you MUST find a surgeon who will not amputate the labia since it can lead to an over-resection and strait appearance of the labia minora (the labia minora natural look is rounded anatomical structure). In addition, the labial over-resection can cause neuropathy (pain at the side of the incision) or neuralgia (pain remotely located from the incision). These conditions are challenging to treat. With regards,Prof. Dr. Adam OstrzenskiUS Cosmetic-Plastic Surgeon