A labiaplasty is a procedure to reshape or resize the labia minora, the inner lips of the vulva which sit either side of the vagina and urethra.

There are many reasons why your labia may become uneven and noticeable, including childbirth and age, and they can all negatively affect your self-esteem.

If your labia tissue is elongated, the excess tissue can become uncomfortable during your normal daily activities. It may stick to your underwear or your leg during physical activity or become uncomfortable if you’re sitting down for long periods of time, for example when you’re riding a bike.

Larger labia might protrude through a swimming costume or make wearing tight clothing impossible. It might also make you self-conscious during sex.

As well as boosting your self-confidence, the most common benefits of labiaplasty include:

• Reduced discomfort when sitting or exercising
• Improved sexual pleasure
• Improved hygiene
• More symmetrical labia
• Improved clothing fit

As with all types of surgery, labiaplasty has risks associated with the procedure including scarring, bleeding and increased or decreased sensation. Your Consultant will talk you through these and any risks associated with anaesthesia.

When you meet your Consultant at the initial appointment, they’ll discuss why you’re unhappy with your labia, why you want a labiaplasty and the results you’re expecting. They’ll ask you about your medical history, including whether you’re taking any medication.

Next, your Consultant or Nurse Specialist will ask you to undress from the waist down and remove your underwear. They’ll assess the size and shape of your vulva and labia minora and measure how far the labia minora protrude. This may involve taking photographs. Your Consultant will ask you to sign a consent form before the examination and you’re welcome to bring someone with you for this part of the appointment.

After the examination, your Consultant will have an honest discussion with you about your suitability for the procedure as well as its limitations.

There’s not much you need to do to prepare for your labiaplasty surgery, but – as with most operations - you should ensure that you’re as healthy as possible before your procedure. This could include keeping your weight stable and eating healthily.

You should stop smoking or vaping several weeks before your surgery, which will help the wound heal. Your Consultant will advise whether you should stop any medication ahead of the procedure.

On the day of your procedure, you should shower as normal to ensure the area is as clean as possible. We’d recommend that you wear loose-fitting clothes, including underwear and bring your preferred brand of pad or panty liner with you.

Your Consultant will discuss with you the type of anaesthetic most appropriate for your procedure. They’ll then trim the excess tissue from the labia minora to allow them to sit behind the labia majora – the outer lips of the vulva. They’ll close the wound with tiny stitches which will dissolve to leave no scar and apply a non-stick, absorbable dressing.

The operation will take about one to two hours, so you’ll be able to go home the same day.

After the surgery, you might experience some pain and swelling which can be managed by taking over-the-counter painkillers. You will need to arrange for someone to drive you home after your procedure and stay with you overnight.

Keep the area around your vulva clean by wiping well after using the toilet and by having a regular bath or shower.

You’ll need to avoid any strenuous exercise for two weeks and vaginal intercourse for four weeks. Your Consultant will advise you when you’re able to return to work and your normal activities.