Genital surgery (labiaplasty)

Labial reduction surgery (labiaplasty) is an option for women with enlarged labia minora.

Large or thick labia can cause interference with clothing choices, physical activities such as cycling and running, and with sexual activity. Surgery remodels the labial structures that protrude beyond the outer lips of the vagina. The scar is orientated in such a way as to minimise contracture and pressure sensitivity.

Frequently asked questions

General questions

The labia minora are the “inner lips” surrounding the entrance to the vagina. There is a large variation in what is normal which can range from no protrusion to very thickened and protruded labia on one or both sides. Both variations are within the range of normal. It is also normal to have differences between sides. The labia minora can change with pregnancies and childbirth and become more prominent. This is also normal.

The usual reason is that the labia are uncomfortable. This may cause problems in tightly fitted clothing or rub together during physical activities. There may be excessive tissue friction during sexual activity. Frequently people will also be embarrassed about excessively prominent labia or gross asymmetries.

If requested, examples of labiaplasty are shown during a consultation to illustrate the typical range of results and the placement of the scar.

Mr Davis does labiaplasty for a fixed cost. The current cost is $3860 when done under local anaesthetic as almost all cases are. The initial consultation fee is $225. There are no costs for additional consultations before surgery and the aftercare consultations are included in the surgical price. For more information about the current fixed cost please either email us or phone us on 0800 268 526.

The quoted cost for surgery covers everything including theatre fees, consumables and all the follow up for dressings and checks in the first year after surgery. This cost includes GST.


There are several different techniques and it depends on your anatomy as to which technique is used.

Most cases are performed under local anaesthetic as a daystay procedure. An antibiotic ointment is provided to keep the area clean and moist. The stitches dissolve and do not need to be removed.

Detailed instructions including cleaning, showering, pain relief, dealing with menstrual flow and recommencing sexual activity are given after surgery. It is recommended that someone else drive you home. Local trauma including intercourse should be avoided for six weeks following surgery.

After surgery

The sutures dissolve and we give you an antibiotic ointment to apply to the stitch line for the first 10 days. You need to avoid local trauma including intercourse and riding bikes for six weeks after surgery.

Most people can get back to desk work 24-48 hours later but if your job involves a lot of heavy lifting or standing for prolonged periods then 3-5 days is more sensible.

The risks

It is a very personal decision to have surgery and this should not be rushed into. Minor asymmetries are common and can be due to differential tissue swelling.

The labial tissue bulges around the dissolving stitches and rarely can leave a rippled appearance. If this occurred, it could be further refined under local anaesthetic.

Very occasionally it can be tender when recommencing sexual activities. Lubrication and scar pressure is helpful if this occurs.