Labiaplasty is very commonly tolerated under local anesthesia alone with or without some pill sedation. Internal vaginal surgery does require general anesthesia because it's a bit more extensive and it does involve internal procedures. External tightening can happen very easily in the office without the need for anesthesia, which definitely decreases the recovery period and decreases the cost of the procedure.
Labiaplasty Patients Heal Faster With Local Anesthesia
Dr. Dana Goldberg discusses why she prefers to use only local anesthesia during a labiaplasty procedure.