The indications for labia reduction are generally organized in the literature
by three categories:
1. Women who suffer from physical or functional complaints associated with a genital abnormality,
2. Women without physical complaints but want surgical intervention for cosmetic reasons.
3. Women who seek surgery for both functional and aesthetic reasons.
In the physical complaint group, several specific complaints were vulvar pain and irritation riding a bike, horseback riding, wearing tight underwear or clothes, and superficial dyspareunia. Enlarged labia can significantly impair a woman’s quality of life – causing constant irritation, difficulty maintaining hygiene, discomfort or embarrassment with clothing, and impairment or pain with exercise or sexual activity.
Many women feel emotional embarrassment with enlarged labia. Women often compare themselves with others and protrusion of the labia minora past the labia majora is considered by many women to be unattractive.