Surgery for the labia minora can be done in the office under local anesthesia. The same is true for tissue above the clitoris and tissue on the labia majora that may get loose or deflated looking overtime. Most of the time, labia procedures and procedures on the perineum or the external area between the vagina and rectum can be done under local anesthesia in the office with very minimal risk. Internal vaginal tightening does need to be done in the operating room and it is a very delicate procedure but I have a lot of experience with cancer reconstruction and other extensive procedures in the area, which make it unlikely to actually have an injury if things are done properly.
Being Put Under During a Labiaplasty May Not Be Necessary
Dr. Dana Goldberg explains the likelihood of needing general anesthesia for a labiaplasty and vaginoplasty procedure.