Information about the procedure
Correction of the shape and size of the labia minora when they cause functional or aesthetic discomfort.
On this page
What it involves
Labiaplasty reduces and reshapes the labia minora when their size causes physical discomfort or distress.
The complaints are specific — pulling and pain during sport, horse riding or cycling, discomfort during intercourse, difficulty with tight-fitting clothing and underwear, irritation and problems with hygiene.
There is no normal size. Anatomy varies widely and asymmetry is common. Surgery is indicated when there is genuine discomfort — not because the shape differs from someone’s idea of what is normal.
Types and approaches
Wedge resection
A wedge of tissue is removed and the edges are joined, preserving the natural edge of the labium. This gives the most natural appearance.
Linear resection along the edge
The excess is removed along the edge. A simpler technique, but it alters the natural pigmentation of the edge.
Clitoral hood reduction
Where there is marked excess skin above the clitoris, this area is corrected as well, so that no disproportion remains after the labia are reduced.
Who it is suitable for
Suitable for
- Pulling, pain or friction during physical activity
- Discomfort during intercourse
- Difficulty with tight-fitting clothing and underwear
- Problems with hygiene and irritation
- Marked asymmetry
- Changes after childbirth
Not suitable, or postponed, in cases of
- Age under 18 without clear functional indications
- Active infection or inflammation — this is treated first
- Pregnancy or breastfeeding
- Unrealistic expectations shaped by images on the internet
- A decision made under pressure from a partner
Preparation
- Consultation to discuss your specific complaints and expectations
- Gynaecological examination where indicated
- Scheduling the operation outside your period
- Stopping blood thinners, as agreed with your doctor
- Loose cotton clothing for the post-operative period
How it is performed
The procedure is most often performed under local anaesthesia, with sedation if you wish. It takes about 45 to 90 minutes.
Fine absorbable (dissolvable) sutures are used, so they do not need to be removed.
You go home the same day.
Recovery
- The first 48 hoursSwelling and a burning sensation, most pronounced during this period. Cold compresses and rest. Loose cotton underwear.
- The first weekSwelling peaks and may look alarming — this is normal. Rinse with lukewarm water after every visit to the toilet.
- 2–4 weeksSwelling visibly subsides. Return to work is usually possible after 3–7 days for a desk job.
- 4–6 weeksSexual intercourse and tampons — usually after 6 weeks, once you have been given the all-clear.
- 3–6 monthsFinal appearance. The tissues soften and the scars become inconspicuous.
Pain and discomfort
The discomfort is moderate and is described as burning and tightness, strongest during the first 48–72 hours. Cold compresses help considerably, and standard painkillers are usually sufficient. Pain on passing urine in the first few days is common and settles.
Risks and complications
Every intervention carries risks. Listing them does not mean they are expected to occur — it allows you to make an informed decision.
- Swelling and discomfort — expected in the first few weeks
- Asymmetry, which sometimes requires a minor correction
- Wound separation if the area is strained too early
- Changes in sensation — usually temporary
- Painful scar — rare
- Infection — rare with good hygiene
- Over-aggressive removal causing subsequent discomfort — harder to correct than the original condition
Results and longevity
The result is long-lasting. Tissue that has been removed does not grow back.
Childbirth can still change the area after surgery.
The aim is functional comfort and a natural appearance, not a specific shape copied from a photograph.