Numerous women are born with enlarged minor and major lips of the vagina. The elongated labia can cause discomfort when exercising, during intercourse, or even when wearing form fitting clothes. The typical reported symptoms are pulling or tugging during intercourse, a bulge appearance in gym clothes, and discomfort with exercise. When the appearance becomes bothersome it negatively impacts their sexual relationship. Labiaplasty is a procedure to reduce the enlarged labia and create symmetry among both sides giving a more youthful look and feel. The technique involves contouring the labia minora to meet your cosmetic goals. As urogynecologists, we are uniquely skilled in labiaplasty to create the youthful beauty of the vulvar face. We perform this in our in-office surgery center under local anesthesia, allowing for a quick recovery.