Labia Correction
The desire for correction of the inner labia has increased significantly since the year 2000. This is partly due to the renewed popularity of intimate shaving among women in the Western world and partly because aesthetic surgery has become much less of a taboo over the past 25 years.
Useful information on the topic of labia correction (labiaplasty)
Overly large inner labia can sometimes lead to physical discomfort. In a study by Gress (2007), 23% of women reported functional reasons—such as pain or chafing when wearing tight clothing, during sports or cycling, and invagination of the inner labia during intercourse—as decisive factors for undergoing labia correction.
Regardless of whether aesthetic or functional reasons are the primary concern, nearly all of my patients wish for their inner labia to be not visible and of equal size when standing upright and exposed. To achieve this, the inner labia usually need to be reduced or adjusted for symmetry. However, there are also cases where the inner labia are not particularly large but still noticeably protrude. This is typically due to the outer labia being very flat and thus covering the vaginal opening (vulva) less than usual.
Intimate shaving reveals the anatomical details of the female genitalia, which shows the same variety as many other bodily features. With increased visibility of the genitals, their external appearance has also gained importance.
A precise analysis is essential for a successful correction.
When assessing the issue, the following aspects must be prioritized: Are the outer labia too small, are the inner labia too large, or is it a combination of both?
Enlarged inner labia can be symmetrized or reduced according to the patient’s wishes. If, in addition to correcting the inner labia, there is also a desire to better cover the vaginal opening, the outer labia can be enlarged using autologous fat (fat grafting), which results in the small labia being (more) covered.
Although labia correction essentially involves the removal of excess skin, this procedure should not be underestimated. The amount of skin to be removed must be precisely marked while checking skin tension, as the high elasticity of the inner labia makes asymmetry especially likely.

Labia Correction: Legal Aspects and Useful Information
In Austria, as in most European countries, any procedure on the human body that reduces sexual sensitivity is prohibited. This means, of course, that all forms of FGM (female genital mutilation) are strictly forbidden—especially if performed voluntarily or upon request. Accordingly, before a labia correction is performed, the patient must be asked whether the inner labia represent an erogenous zone, and only if this is clearly denied may the surgery be carried out.
The procedure, of course, has nothing to do with female circumcision (FGM)! On the contrary, most of my patients report an improvement in their sex life after a successful operation! The reduction of the inner labia has nothing to do with female circumcision or the removal of the clitoris. Procedures of that nature must be strongly condemned by every reputable medical professional and every human being.
In a labia correction, the clitoris, clitoral hood, and any existing hymen are, of course, left untouched.
Since 2011, there has been a consensus paper by the City of Vienna outlining important guidelines for this type of operation.
Labia Correction: Polarization Is Out of Place!
I hold the view that the correction of the inner labia has the same “justification” as any other aesthetic procedure. All cosmetic surgeries are equally necessary or equally unnecessary. If a woman feels that her labia are bothersome, she should be able to speak openly, without pressure or stigma, with her plastic surgeon or gynecologist about it.
Labia Correction – Overview
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Faq
What is meant by labia correction?
Labia correction refers to the modification of the external appearance of the inner and/or outer labia. In current common usage, the term primarily refers to the reduction of the inner labia.
What correction options exist for the inner labia?
The inner labia can be symmetrized (made even) or reduced in size.
What correction options exist for the outer labia?
The outer labia are usually enlarged with the patient’s own fat to better cover the inner labia or the vaginal entrance. In rare cases, overly large outer labia can also be reduced.
Is labia correction purely an aesthetic procedure, or are there medical reasons for it as well?
Generally, labia correction is a cosmetic procedure, but there can also be functional reasons — such as pain or friction when wearing tight clothing, during sports or cycling, or the inward folding (invagination) of the inner labia during sexual intercourse.
Does health insurance cover the cost of the procedure?
As a rule, since this is an aesthetic operation, public health insurance does not cover it. However, in cases of asymmetry or functional impairment, the procedure may be approved after consultation with the chief medical officer of the health insurance provider.
Is the procedure performed under local anesthesia or general anesthesia?
A labia correction can usually be done under local anesthesia. About 50% of patients, however, choose general anesthesia for comfort reasons — so as not to experience the procedure consciously.
Can the hymen be damaged during labia correction?
No. The hymen remains intact during the correction of the inner labia.
Can the clitoris be injured during labia correction?
No. The clitoris and clitoral hood are never touched during any form of labia correction.
How long is the recovery period after labia correction?
Wound healing is generally complete after two weeks. It is essential to maintain strict hygiene in the intimate area after surgery (e.g., sitz baths after bowel movements, rinsing with Kamillosan or diluted Betaisodona solution after urination, etc.).
nSexual intercourse should be avoided for at least four weeks.
What complications can occur?
In experienced hands, complications are extremely rare. Most relate to aesthetic outcomes (too much, too little, or uneven tissue removal) and have no health consequences. Medical complications such as bleeding, infection, or wound healing issues are also very uncommon.
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