How Much Does Labiaplasty Cost?

A labiaplasty costs $5,157 on average, according to 308 patient reviews. Prices can range from just $2,300 to as much as $11,000, depending on:

• the scope and details of your procedure
• your provider’s credentials, level of experience, and location
• the type of anesthesia you have

The American Society of Plastic Surgeons cites an average cost of $3,919 for labiaplasty, but they note this is just the plastic surgeon’s fee. Additional fees for the anesthesia, operating room, and related expenses can add thousands to your total bill.

Labiaplasty surgery removes excess tissue from the inner labia minora, so they look more “tucked in” between the outer labia majora. 

Read on to find out why the price of this cosmetic procedure varies, if insurance covers it, and whether most patients say their results are worth the expense.

Related: Everything You Need to Know About Labiaplasty

What your price quote should include

Having an in-person consultation with at least one qualified surgeon is the best way to get a personalized treatment plan and price estimate. Consulting with more than one provider gives you the opportunity to compare plans and quotes. You may find they’re very different.

Most surgeons will apply your consultation fee toward the cost of surgery, but it's a good idea to confirm that detail before you book.

A full price quote should include:

• The surgeon’s fee
• Anesthesia fees
• Facility fees 
• Pre- and post-op labs or medical tests 
• Follow-up appointments 

Also ask:

• If you’ll need to budget for prescription medications or any other major supplies for your labiaplasty recovery
• How they handle the cost of revision surgery, just in case you don’t like your results or have a complication

Why labiaplasty costs vary

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 very delicate procedure, performed in a nerve-rich and sensitive area. An inexperienced doctor can leave damage (like nerve pain, separation of sutured edges, or removing too much tissue) that can be extremely difficult to fix. 

Patients who have had too much tissue removed from the vaginal opening may even have to seek out a specialist for reconstruction surgery, at far greater expense. So this isn’t a situation that merits bargain-hunting.

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 specialize in the procedure, and they perform that many (or more) in a single year, with great proficiency in their chosen technique. 

2. Their practice location

Like a plastic surgery procedures, this one can vary in cost due to where the provider practices. 

Procedures in tony 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:

• Plastic surgeon Dr. Cat Begovic says that a complex labiaplasty can cost as much as $25,000 in Beverly Hills, due to demand for the procedure and the expertise of surgeons in the area.
• Dr. Ammar Mahmoud, an OB-GYN in New York City, cites an average cost of $7,500 at his practice.
• In more affordable Fort Worth, Texas plastic surgeon Dr. Steven Camp typically charges $6,300 for a labiaplasty at his practice.

3. The type of facility where your procedure is performed

Finding a provider 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 the extra expense of a hospital might be worth it if you have a medical condition (like diabetes) that puts you in a high-risk category.

4. The complexity of your surgery

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 technique, which reshapes the labial tissue to preserve its natural borders, is more advanced and time-consuming than the trim technique, which simply trims excess skin from the edges of the labia. Because of this, a wedge procedure is usually more expensive. 

Labiaplasty focuses only on the shape and length of the labia minora, but it’s commonly 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.

It can also be combined with a breast augmentation or tummy tuck, or as part of a full mommy makeover.

Combining procedures will increase your total bill. But if you’re planning to have multiple surgeries anyway, it can be more cost effective to combine them in one operation, because you’ll pay only 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 the anesthetic 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 95% 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 chafing and more comfort while biking and during other physical activities.

Results are permanent, which can make the investment even more worth it if you have good results that increase your comfort and self-esteem. 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).

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 genitalia 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 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.

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.

Does insurance cover labiaplasty?

Most insurance carriers will not cover labiaplasty surgery because they consider it cosmetic surgery. Labia minora naturally have a variety of sizes and shapes, and a labiaplasty improves on 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 chafe and cause serious physical discomfort (including during sexual activity) or even 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.

Start the process by contacting your insurance carrier to learn more about their guidelines.

Can you finance labiaplasty?

Plastic surgery financing options 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. Some practices even offer monthly payment plans, with little or no interest.

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