Learning About Labiaplasty

Labiaplasty is surgery to change the shape of the vulva. The lips (labia) of the vulva come in many sizes and shapes. Surgery can reshape or reduce the size of the inner lips of the vulva (labia minora) or sometimes the outer lips (labia majora).

You may have labiaplasty for different reasons. These may include:

• Having discomfort from large or uneven labia, such as rubbing, pinching, or tugging during exercise.
• Feeling unhappy with the look of the labia.
• Wanting to boost sexual confidence.
• Having other personal reasons.

Labiaplasty is usually done as an outpatient surgery. This means you go home the same day. You may get medicine to numb the area being worked on (local anesthesia) or to make you sleep (general anesthesia).

There are a few different methods for the surgery. Your doctor will recommend one based on your anatomy and your goals. During the surgery, excess tissue of the labia minora or majora is removed or reshaped. You may have stitches in place after the surgery. These will likely fall out on their own.

Recovery takes 4 to 6 weeks. You’ll need to avoid strenuous activity and sex. You can’t use tampons until you recover.

Most of the swelling is gone by 6 weeks. You may have a small amount of swelling for up to 6 months.

All types of surgery have risks. The risks of labiaplasty include:

• Pain and swelling.
• Infection.
• Slow wound healing.
• Scarring.
• Risks of general anesthesia.
• Loss of feeling (temporary or long-term).
• Pain before, during, and after sex.
• Ongoing dry tissues.
• Not being happy with how it looks.
• Impact on future childbirth or pelvic exams (rare).

Talk with your doctor about what to expect. Make sure you fully understand the risks and benefits before having surgery.

Before deciding, ask your doctor:

• How much experience do you have with this surgery?
• What results can I expect?
• What is the full cost? Will my insurance cover any of the cost?

Elective labiaplasty is a personal decision. Make sure to think about your reasons, ask questions, and talk with a doctor you trust. Your comfort and health are what matter most.