Labiaplasty, often spelled labioplasty, is a cosmetic vaginal surgery which can enhance appearance and self-esteem.  For some women it can enhance function. It involves reduction of the labia minora (inner lips). There is great variation in the size of the labia minora. Women will notice elongated or large labia as early as puberty or following pregnancy. 

During child delivery, the stretching and tearing of the vagina can occur causing an abnormal or odd appearance. An episiotomy can often heal poorly this can also distort the vaginal entrance. The labia will no longer touch at the center and the outer vagina will look stretched or elongated.

Many women request labial reduction, labiaplasty, or laser reduction labiaplasty, despite not having children. The most common reason for requesting labiaplasty is to get an improvement in the look for cosmetic purposes. This procedure is also performed for functional reasons, such as irritation when riding a horse or bicycle. Pain or soreness during sexual activity or intercourse is another reason women often request labial reduction or labiaplasty.