Edited by
Michael P. Goodman

2016

A women has the opportunity to request alteration of her vulva and/or vagina for a variety of reasons. Clinicians in the office hear of cosmetic and self‐esteem rationale, as well as functional complaints. Regarding the vulva, distress with the appearance of “flaps” or “elephant ears” or other protrusions beyond the labia majora; self‐consciousness; and distress over potential prominence or slippage of hypertrophic labia from beyond the confines of thong‐type undergarments or swimwear predominate on websites, blogs, and office commentary.