Labiaplasty (or labial reduction) is an increasingly popular cosmetic genital surgical procedure to reduce the size and balance the shape of the small lips (labia minora) on the outside of the vagina. In standard labiaplasty, only the labia minora are altered; however, some patients also ask for cosmetic improvement in the shape and appearance of the large lips (labia majora) and the hood of the clitoris. Many women are born with large or irregular labia. Others develop the condition after childbirth and with aging. Some women suggest that having enlarged labia is embarrassing. In other cases, enlarged labia can be uncomfortable when wearing certain clothing, exercising, and engaging in sexual intercourse. But most women seek surgery to correct the labia because they want to look and feel prettier and younger. In addition to enhancing the appearance of the outer vagina, labiaplasty can help some women feel more attractive and confident.