Unfortunately, it is not unusual to look like you've been hit in the vulva with a baseball bat the first 4-7 days after surgery, Black & blue, swollen 3X "normal" size, etc. Even understanding that, it appears that your surgeon was quite aggressive in the amount of tissue removed. However, you really won't have even a general idea of how things will turn out until ~ 2-3 weeks post op, and it won't be until at least 6-12 weeks post op that you will really appreciate the long-term results. Please send us photos at that time if you are dissatisfied.That said, HERE IS IN-DEPTH INFORMATION ON APPEARANCE DURING THE FIRST 7-10 DAYS POST-OP. Any legitimate, experienced genital plastic surgeon should both clearly discuss this with you, give you a written sheet describing your post-op appearance, post-op activities, and be easily available for your queries and concerns during the first 7-10 days post-op. WHAT TO EXPECT: Day of surgery& day after: Largest amount of pain is when anesthesia wears off day of surgery. Ask your doc when this might be, and take your first pain pill(s) 1 hour before, and every 4 hours (with food!) through the day and at bedtime. Take as needed after that. Expect some minor to moderate red blood leakage, minimal swelling first 1-2 days. Ice the area as directed for 15-20 min. every few hours beginning after surgery & for 4-5 days. Days 2-7. LOTS of swelling, discoloration ("black & blue"), even out to the outer lips and clitoral area; size irregular, frequently more swelling one side than the other, lots of bumpiness in-between stitches, some yellowish coating, rough edges, sometimes tiny superficial separation. Looks positively "awful." Remember also, the clitoral area will stay swollen longer than the rest of the labia... Days 7-10. Swelling goes down, still bumpy, irregular, tissue somewhat "hard" Danger signs: "Drip-drip-drip" bleeding; significant separation (look carefully- DO NOT PULL OR TUG); a large "goose egg" on one side; increasing reddening or pinkish "halo" developing in the surgical area. What to do; not to do. TO DO (first 7-10 days): Off your feet; greatly minimize stairs, walking, outside activities. Rinse area 2-3X/day with shower or peri bottle; pat dry or dry with hair dryer high blow, low heat. Ice carefully with re-freezable soft ice pack or frozen peas/corn for 15-20 min. 5-6 X/day. If it gets REALLY SWOLLEN, try Ibuprofen 600 mg (3 OTC tabs) with food every 6-8 hours continuously for 3 days. NOT TO DO: Running, lots of stairs, out & partying, handling, touching, tugging at the area to look more closely Last words: Your surgeon should go over IN DETAIL your recovery and give you a clear written instruction sheet. He/she should be easily available to you for questions; you can communicate with your surgeon by sending him/her a small photofile of "selfies" to show what you're concerned about. PROBLEMS? CALL YOUR SURGEON!! Remember, it will be a month before you should resume full normal activities, and 3-6 months before you will really know how it will look, long-term.The attached weblink may be of help, as will the video. Very best wishes,Michael P Goodman, MDDavis, Ca, USA