• Labiaplasty is considered as a major surgery and the results of the procedure are permanent. Hence, before undergoing the procedure, the gynaecologist will make sure that you are through a counselling session and are well informed about the procedure and its effects.
• Before carrying out the procedure, you will have a standard pelvic examination to identify any infections that may need treatment prior to the surgery.
• As a labiaplasty is performed under the influence of anesthesia, you will be asked to refrain from eating any food or drinking any fluid 8 hours prior to the surgery.
• You will be instructed to stop taking blood thinners or any anti-inflammatory medications for at least a week before the surgery.

• Certain pre-operative tests like complete blood count (CBC), urinalysis and a chest X-ray will be carried out to make sure that you don’t have any complications during or after the procedure.
• To have your temperature, pulse, blood pressure, and breathing rate checked, an intravenous IV line will be placed in through a vein in your arm or hand.
• The surgeon will put you under the influence of anesthesia to make sure that you don’t have any pain or discomfort during the procedure.
• A urinary catheter may be placed in your urethra to make sure that you are able to empty your bladder completely after the administration of the anesthesia.
• Initially, the surgeon will locate the area of the tissue that needs to be reshaped or resized.
• The surgeon then trims a small portion of the tissue from the edge of one or both sides of the labia minora and cuts away a portion of tissue from the inner region of the labia minora.
• After that, the surgeon injects marcaine epinephrine to numb the area and decrease the risk of bleeding. 
• Then, the surgeon precisely removes both the sides of the enlarged labia using certain medical tools.
• The edges of both sides of the tissue are then approximated into a desired position for suturing.
• Once the procedure is complete, the wound will be covered with surgical dressing.

• After the completion of the procedure, the patient will be shifted to the care unit where all the vital signs will be closely monitored.
• Once the reaction of the anesthesia wears off, the urinary catheter (if placed) will be removed.
• The medical team will constantly check for bleeding and depending upon the surgery, they will explain the possible complications before prescribing medications.
• Depending upon the overall health condition, the patient will be prepared for discharge.
• Before discharging, the doctors will thoroughly explain the post-surgical self-care tips to make sure that there are no possibilities of any complications.

Labiaplasty is a safe and advanced procedure that provides excellent results by permanently repairing the enlarged muscles of the labia minora. Labiaplasty easily trims the excess tissue, allowing the lips of the labia minora to sit neatly with the labia majora. With time, the external portions of the vulva are restored to normal and gradually, the skin adjusts to the treatment. 

The cost of a labiaplasty surgery may range anywhere from Rs 25,000 to Rs 35,000. However, this cost should not be considered an absolute and can vary from person to person depending on a number of factors such as:

• Expertise and experience of the doctor
• Extent of the labia minora to be reduced
• Type and location of the hospital chosen to undergo the treatment