Labiaplasty reduces the size of the labia minora AKA the inner flaps of skin on either side of the vagina. The procedure can be done via a trim or central wedge technique. The trim technique is when an incision is run along the length of the labia through which extra tissues and excess skin on the labia minora are trimmed to give a desirable size. The central wedge technique is when the surgeon removes a wedge or “pie slice” from the part of the labium that protrudes the most. The top of the labium is sutured to the bottom part to create a smaller labium.