You are a good candidate for a labiaplasty. If you want your labia minora smaller, it will change the appearance. However, you should want a good aesthetic appearance I invented the central wedge labiaplasty surgery in 1995 and only reported the seminal article in the plastic surgery literature in 2007. It is also known as the "V" or wedge technique. Gynecologists and most plastic surgeons perform a labiaplasty very differently. They essentially turn the labia minora (inner vaginal lips) and leave a long suture line instead of the normal labial edge. Their technique is the same whether a scalpel or a laser is used. In contrast, I remove triangles of tissue and bring the normal edges together. Thus, the normal labial edges, normal color, and normal anatomy are preserved, but the darkest labial tissue is usually removed. If you have extra tissue on your clitoral hood, I can reduce it at the same time. My technique is performed with magnification to ensure an accurate approximation of the normal labial edges, whereas the other technique takes 15-30 minutes and results in a linear scar as the labial edge. That scar can cause chronic discomfort and aesthetic disfigurement. Your clitoral hood may also be causing some of your discomfort. I can reduce that at the same tim. The surgery is relatively minor and is not very uncomfortable. It is performed as an outpatient in a fully accredited surgical center. General anesthesia is usually used, but sedation with local anesthesia is possible. As for your labia majora, fat injections can be done to increase the fullness of your labia majora “labia puffing”, which can be done under local anesthesia. However, it can sometimes cause a large bulge. In that case, you may need a majora skin reduction. Above all, choose an experienced surgeon as over half of my surgeries are for reconstructing women who have been botched by other doctors. Sincerely, Gary J. Alter, M.D. Beverly Hills, CA -- Manhattan, NY