The most common complaints we hear form women include labial pain and irritation from rubbing against clothing (specifically while wearing jeans and workout clothes). Other concerns include interference with normal activities such as intercourse, urination, and tampon placement as well as physical activities like cycling or horseback riding. The appearance of a bulge may also appear when wearing certain clothes, holding women back from complete comfort. For some women, elongated or asymmetrical labia may cause embarrassment or interfere with a sexual relationship thus negatively affecting their confidence. A significant percentage of our patients simply do not like the appearance of their labia and request subtle sculpting.