Transgender labiaplasty

This medical procedure (sometimes spelled labioplasty) involves the creation or reshaping of the labia (lips) around the vagina.

For non-transgender women

Labiaplasty is sometimes performed to revise anomalies and congenital conditions such as large inner labia, as well as to repair the area following disease or injury, especially from childbirth.

As with other procedures, like plastic surgery of the nose (rhinoplasty), labiaplasty may be undertaken for functional reasons, aesthetic reasons, or a combination of the two.

Labiaplasty evokes very strong emotional responses (both pro and con) far more often than more common procedures like rhinoplasty. There is considerable controversy regarding surgery on some patients, notably women who are worried that their labia are not “normal.”

For transgender women

In the case of transgender women, labiaplasty is frequently the second part of a two-stage vaginoplasty, where labia and a clitoral hood are created. This is often performed a few months after the first part of the procedure. In some cases, labiaplasty is undergone to improve appearance after a one-stage vaginoplasty.

Unlike vaginoplasty, labiaplasty is an outpatient procedure usually performed under local anesthesia, so there usually is not a hospital stay involved. After surgery, women may experience some mild discomfort and swelling, which usually disappears completely after 1-2 weeks.


Note: resources listed may contain images of surgery and genitalia.

American Society of Plastic Surgeons (

Dr. Marci Bowers (

Dr. Christine McGinn ( (note: graphic images) (note: graphic images) (note: graphic images) (note: graphic images) (note: graphic images)

My 1998 labiaplasty experience