Modern elective cosmetic reduction of the vulvar structure known as the Labia Minora has been available for nearly 25 years. While this may seem like a long period of time, labia reduction or more commonly known as “labiaplasty” going forward has gained great popularity in just the past decade. The appearance of large labia is that genetic phenomenon which is strictly “de novo “in nature. In other words it is new and no different than why some women are born with small breasts or long noses etc. Labia hypertrophy may be merely serendipity but it is also devastating to the patient’s self-esteem and many times creates general physical discomfort. Patients additionally often complain of irritation with tight fitted clothing exercise and sex. Many times these complaints are more common motivators than just aesthetics. Even the American College of Obstetrics and Gynecology, who takes a dim view of Cosmetic Gynecology, agrees that Labial hypertrophy is a real problem which warrants surgical correction. Gynecologic and plastic surgeons have recognized this problem and are finally starting to address this formally unspoken concern of women. Naturally, physician training and experience are paramount for the patient considering a practitioner for a Labiaplasty procedure. Labiaplasty.com is the preeminent directory site bringing patients and experienced clinicians together.