How Much Does Labiaplasty Cost?

A labiaplasty costs $4,400 on average, according to 1,895 reviews from RealSelf community members. However, some say they paid as much as $10,000.

Labiaplasty removes excess tissue from the inner labia (the labia minora), so they appear “tucked in” between the outer labia (labia majora). 

Read on to find out why the cost of labiaplasty surgery varies, when insurance covers the procedure, and if real patients their results are worth what they paid.

Related: Everything You Need to Know About Labiaplasty

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What does the cost include?

During an initial consultation with one or more surgeons, ask for a detailed labiaplasty price estimate.

Most surgeons will apply your consultation fee toward your vulva surgery cost, but it's a good idea to confirm that detail.

Your full price quote should include:

• The surgeon’s fee
• Anesthesia fees 
• Facility fees 
• Pre- and post-op labs or medical tests 
• Follow-up appointments 
• Prescription medications and any major supplies that you’ll need post-op

Also ask your provider how they handle the cost of revision surgery, just in case you're not happy with your results or have a complication.

What affects the cost of a labiaplasty?

These are the biggest factors that will determine the total cost of your labiaplasty procedure. 

1. Your surgeon's credentials and level of expertise.

The training, background, and reputation of your surgeon—usually a board-certified gynecologist, urologist, or plastic surgeon—will influence their surgeon's fee. 

As surgeons gain more experience and produce better results, their services are more in-demand, so they can justify charging more for their work. You'll also likely pay more if you go with a plastic surgeon, who has more surgical training than an OB-GYN. 

As you choose your surgeon, keep in mind that this is a delicate procedure, performed in a nerve-rich and sensitive area. In inexperienced hands, it can leave damage (including nerve pain and separation of sutured edges) that can be extremely difficult to fix. 

Patients who have had too much tissue removed from the vaginal opening may even require labia minora reconstruction surgery, at more pain and expense. So this isn’t a situation where it’s smart to bargain hunt.

During your initial consultation, ask how many of these procedures the surgeon has performed and how often they do them. Some doctors on RealSelf strongly recommend going with a board-certified plastic surgeon who has performed at least 100 labiaplasty procedures. Some who specialize in the procedure perform that many in a single year and have perfected their chosen technique. 

2. Their practice location. 

All plastic surgery procedures, including labiaplasty, vary in cost due to where the provider practices. 

Procedures in upscale neighborhoods of major cities, with higher rents and other costs of living, tend to charge more than what you'd pay in an outlying area or a smaller city

For example:

• Fort Worth, Texas plastic surgeon Dr. Steven Camp typically charges $6,300 for a labiaplasty at his practice.
• San Francisco, California plastic surgeon Dr. Usha Rajagopal says that labia reduction surgery costs at her practice start at $6,500.
• Expect labiaplasty costs in New York City to be among the highest in the U.S. NYC plastic surgeon Dr. Ammar Mahmoud cites an average cost of $7,500 at his practice, though this can vary by patient. 

3. The surgical facility where your procedure is performed.

Finding a labiaplasty surgeon who has their own surgery center can usually save you money in the form of lower facility fees. 

Outpatient surgery centers can be significantly less expensive than having your procedure in a hospital operating room, though if you have a medical condition (like diabetes) that puts you in a high-risk category, the extra expense of a hospital might be worth it for your own peace of mind. 

4. The complexity of your labiaplasty.

If you need a complex procedure or combination of several vaginal rejuvenation procedures, you can expect to pay more than the average patient. 

The labiaplasty technique used during your surgical procedure will affect your cost. For example, the wedge labiaplasty surgical technique that reshapes the labial tissue is more technically challenging and time-consuming than the trim technique (which simply trims tissue from the edges of the labia), so a wedge procedure is usually more expensive. 

Labiaplasty focuses only on the shape and length of the labia minora, but it’s also common for the procedure to be combined with other genital procedures such as clitoral hood reduction, majoraplasty (to minimize the size of the labia majora, the outer vaginal lips), monsplasty, pubic liposuction, or vaginoplasty.

Combining procedures will increase your total bill, but it’s usually more cost effective than having each performed separately because you only pay once for the anesthesiologist and facility. Your surgeon may also discount their fee for each additional procedure.

5. The type of anesthesia you have and who administers it.

Labiaplasty can be safely performed under local anesthesia with oral sedation, IV sedation, or general anesthesia. 

Opting for local anesthesia with oral sedation can drop the overall cost of a procedure anywhere from 10–25% (if not more) because it can be administered by your surgeon or a member of their staff.

However, if you have either general anesthesia or local anesthesia with IV sedation (aka twilight sedation), your anesthesia will need to be administered by an anesthesiologist (an MD) or certified registered nurse anesthetist (CRNA), who will also monitor your vials throughout your procedure.

A certified registered nurse anesthetist (CRNA) will charge a lower fee than an anesthesiologist. However, their more advanced training could increase your safety, particularly if you have underlying health conditions.

Is labiaplasty worth the money?

Labiaplasty has a 94% Worth It Rating from RealSelf members, so a solid majority think it was worth the price they paid. 

Many reviewers who were happy with their results say that the self-consciousness they previously felt while wearing bathing suits or leggings disappeared. One reviewer even mentioned less friction and more comfort in physical activities like bike riding.

Among those reviewers who say their results weren’t worth it, some experienced complications and side effects like numbness, asymmetry, or other deformities. In rare cases, patients can even experience nerve damage that can lead to lasting pain, which is why it’s so important to find an experienced surgeon.

Related: Botched Labiaplasty Is Common. Doctors Explain Why—and How to Avoid a Bad Outcome

Several reviewers also report that the size of their clitoral hood looked too large once the excess labial tissue was removed. Dr. Gary Alter, a plastic surgeon practicing in New York City and Beverly Hills, California, says that this is a common concern that can be corrected by clitoral hood reduction.

Results are permanent, can make the investment even more worth it—if you have good results that increase your comfort and self-confidence. Once the extra skin of the labia minora is removed, both your aesthetic and physical comfort can be forever improved (though results may be altered over time by vaginal childbirth and the aging process).

Ultimately, only you and an experienced surgeon will be able to determine if you're a good candidate for labiaplasty.

RealSelf Tip: Some providers offer what they call a “nonsurgical labiaplasty,” using devices such as FemiLift CO2 laser, the CO2RE Intima CO2 laser, or Viveve radiofrequency energy handpiece to tighten and rejuvenate the labia minora and/or majora. These treatments do come with a lower up-front price tag and fewer risks than surgery, but they also offer less dramatic results, require maintenance treatments every year or two, and have lower Worth It Ratings from reviewers on RealSelf.

Are labiaplasty costs covered by insurance?

Most insurance carriers will not cover labiaplasty surgery because they classify it as cosmetic surgery. Labia minora naturally come in many different sizes and shapes, and a labiaplasty improves the shape or appearance of a normal body part. 

However, there are some circumstances where insurance companies will cover a labiaplasty. Enlarged labia (aka labial hypertrophy, in medical speak) can become chafed and cause serious physical discomfort (including during sexual activity) or recurrent infections, as well as problems with urination or hygiene. 

If your surgeon is able to submit documentation that vulva surgery is medically necessary, rather than being a strictly cosmetic procedure, it may be approved for coverage. Just keep in mind that you'll probably still have to cover a copay and choose a surgeon within your insurance company’s approved network, so start the process by contacting your insurance carrier to learn more about their guidelines.

You can also ask if your provider offers payment plans, to help lessen the burden of your overall bill.

Can you finance labiaplasty?

Yes, plastic surgery financing can make the cost of labiaplasty more affordable by spreading it out over time. 

During your consultation, your provider’s staff should be able to share information on the financing options they accept.

Labiaplasty costs in U.S. states

Browse average labiaplasty costs and ranges by state, according to the 449 most recent RealSelf reviews as of March 2023. (Note: States not included don't have enough recent data to display.)

Labiaplasty costs by country

Browse average labiaplasty costs and ranges by country, according to RealSelf member reviews from the past 4 years (as of March 1, 2022).

Labiaplasty costs in major U.S. metros