This is a most difficult topic for most doctors, so much, so that they cannot perform the procedure. The open discussion of females' private parts can be so embarrassing that the vast majority of male and female practitioners refuse to deal with the subject. Yet, the lady seeking this consultation is most earnest in her quest for help. The overly developed female genitalia can be both physically and emotionally problematic.

This private procedure should be performed by doctors well versed in genital surgery. Training in intersex and gender problems as well as male hypospadia and ambiguous genitalia are all part of the mandatory background for the surgeon taking on labiaplasty work. The most important caution is to refrain from coitus for several weeks after the procedure.