Your clitoral hood is long and protuberant. I assume you do not have clitoral enlargement, in which your clitoris sticks out a lot more when your aroused. The type of hood reduction depends on the anatomy and desires. I routinely remove the sides of the clitoral hood with a labia minora reduction if there is excess tissue. If the skin overlies the head or glans of the clitoris, that can be reduced. Since you have a very large, protuberant, long clitoral hood, I invented a procedure called a clitoropexy with a clitoral hood reduction. With this procedure, I lift up the clitoral hood skin, move the clitoris closer to the pubic bone, thin the tissues under the clitoral hood skin, and then remove a large amount of excess skin. This results in a dramatic decrease in the length, thickness, and protuberance of the clitoral hood, so that the hood is now within the labia majora when the woman stands. I have performed this procedure over 350 times with outstanding results. I have not published this technique so no one does it like me. If you have clitoris enlargement, you will need a clitoris reduction, which I can also perform. Gary J. Alter, M.D. Beverly Hills, CA - Manhattan, NY