What is a labiaplasty?

Labiaplasty is a surgical procedure that alters the labia, most commonly reducing the size and protrusion of the labia minora - the inner lips - and in some cases addressing the labia majora, the outer lips.

Enlarged or asymmetric labia can be genetic, or can follow childbirth, ageing or weight change. Where the labia minora protrude beyond the labia majora, they can be visible through close-fitting clothing and can catch or chafe.

Labia vary widely in size and shape between individuals, and variation is normal. Surgery is one option, not the only one, and it is not necessary for most people.

Why people consider it

Labiaplasty is commonly performed to address physical symptoms:

• Discomfort or chafing when wearing tight clothing.
• Discomfort during exercise, cycling or other activity.
• Pain experienced during intercourse.
• Irritation caused by the labia catching or rubbing.
• Difficulty with hygiene.

Some patients seek the procedure because they are unhappy with the size or shape of their labia rather than because of physical symptoms. Both are discussed openly at consultation.

If you are experiencing physical discomfort from chafing, this procedure can provide relief. Outcomes depend on individual anatomy, and individual results may vary.

Discussing it

This is a sensitive subject and many people feel uncomfortable raising it, which means some live with symptoms without knowing what options exist. Consultations are conducted privately and discreetly.

It is worth saying plainly that surgery is not the only answer. Where symptoms are mild, or where the concern is about appearance rather than function, a surgeon should discuss whether any intervention is warranted at all. See alternatives to labiaplasty.

What the procedure involves

The procedure reduces the size of the labia by removing excess tissue and closing the edges. It is performed under local or general anaesthesia depending on the extent of the surgery and your preference.

Several surgical techniques exist, and which is appropriate depends on your anatomy and what is being addressed. Your surgeon will explain the technique proposed in your case at consultation.

Related vaginal surgery options

Other changes in the vaginal area brought about by childbirth, ageing or weight fluctuation may be addressed by different procedures. These include vaginoplasty and other options within Me Clinic's vaginal surgery range.

Results of each procedure vary from person to person. Which procedure is appropriate - or whether one is appropriate at all - is determined at consultation.

Age and consent

Labiaplasty on minors is subject to specific legal and ethical restrictions in Australia. Me Clinic's consultation process includes assessment of suitability, and the standard cosmetic surgery safeguards apply, including the mandatory GP referral and cooling-off period set out below.

Costs

Labiaplasty surgery costs range from $9,000 to $13,000. The figure varies with the complexity of the procedure, whether it is combined with other treatment, the time required in theatre, and the facility used.

As at September 2024 and including GST, a consultation with a Specialist Plastic Surgeon is $350. You receive a tailored quote after consultation, covering surgeon fees, anaesthesia, hospital costs and post-operative care.

Payment for major surgery is due four weeks before the procedure. See Me Clinic pricing.

Medicare and health insurance

Labiaplasty performed for cosmetic reasons is not covered by Medicare. Where it is performed to address a documented physical or functional problem, a Medicare item number may apply where the strict MBS criteria are met and you hold a valid GP referral.

Medicare has specific restrictions on vulvoplasty and labiaplasty items, and eligibility is assessed carefully. Confirm current item numbers and criteria with your surgeon and on MBS Online. Me Clinic is not a no-gap provider, so a significant out-of-pocket payment remains even where cover applies.

Referral and cooling-off period

Since 1 July 2023, all patients are required to have a GP referral before seeing a plastic surgeon or doctor about cosmetic surgery. A valid referral is also needed if you wish to claim a Medicare rebate on medically essential surgery.

For any cosmetic surgery there is a compulsory one-week cooling-off period after your second consultation before surgery can be booked.

Recovery

Recovery involves swelling and discomfort in the treated area, managed with prescribed medication. Specific guidance is given at your consultation, but as general points:

• Where a general anaesthetic is used, you need someone to drive you home and stay with you for at least 24 hours.
• Swelling and bruising are expected and settle over the following weeks.
• Avoid exercise for the first two weeks; gentle walking is encouraged.
• Most people return to work after one to two weeks, depending on the physical demands of the job.
• Sexual activity is avoided for a period your surgeon will specify - generally around six weeks.
• Wait six to eight weeks before swimming.

The final result becomes clearer over several months as swelling resolves. See the labiaplasty recovery timeline for a week-by-week guide.

Risks and complications

All surgical procedures carry risks and potential complications, including infection, bleeding and haematoma, swelling, pain, scarring, delayed healing, wound separation, asymmetry, changes in sensation, over-resection or under-resection of tissue, and the possible need for revision surgery.

Changes in sensation are a particular consideration in this area, and should be discussed specifically with your surgeon before proceeding.

Risks are discussed with you in detail during the consultation process, and you are given written information to take home. Please read our information on the risks and complications of cosmetic surgery before proceeding.

Individual results may vary. Any surgical or invasive procedure carries risks. Before proceeding you should seek a second opinion from an appropriately qualified health practitioner.

Related pages

See alternatives to labiaplasty, vaginal surgery, or all body procedures.