Labiaplasty has become a more common procedure in the UK in recent years. Women choose to have labiaplasty for various personal reasons—physical discomfort, irritation during physical activity, self-consciousness, or dissatisfaction with appearance. Whatever the motivation, one key question many women ask early on is: can it be done under local anaesthetic?
The answer is yes. Labiaplasty under local anaesthetic is not only possible, it’s increasingly preferred by many patients. In this blog, we’ll explain how it works, what to expect, and why it might be the right option for you.
Centre for Surgery is a specialist cosmetic surgery clinic in London, known for advanced techniques and personalised care.
What Is Labiaplasty?
Labiaplasty is a surgical procedure that reshapes or reduces the size of the labia minora—the inner folds of skin surrounding the vaginal opening. Some women have naturally larger or asymmetrical labia, while others may notice changes after childbirth, ageing, or hormonal shifts.
When the labia are longer or uneven, they can rub against clothing, cause discomfort during exercise or intercourse, or make women feel uncomfortable in tight clothes or swimwear. Labiaplasty addresses these issues by removing excess tissue and creating a more balanced, comfortable shape.
Why Local Anaesthetic?
General anaesthetic used to be the default for most surgical procedures, including labiaplasty. But that’s changed. Advances in surgical techniques, pain management, and patient care now make it possible—and safe—to carry out labiaplasty with local anaesthetic while the patient remains awake.
The local anaesthetic option involves numbing only the area being treated. You’re awake, but you don’t feel any pain during the surgery. The idea may sound daunting, but for many women, it’s a calmer and more manageable experience than going under general anaesthetic.
How the Procedure Works
Before anything begins, you’ll have a consultation with your surgeon. This is where you discuss your goals, concerns, and medical history. The surgeon will explain what can realistically be achieved and help you understand the risks and recovery involved.
On the day of the procedure, the process is straightforward. First, a numbing cream is applied to the area. Then, once the cream takes effect, a series of small injections deliver local anaesthetic to fully numb the labia. The injections are done gently, and any discomfort is brief. Once the area is numb, you won’t feel any pain—only mild pressure or movement.
The surgeon then reshapes or reduces the labia using a technique discussed in advance. This may involve trimming the edges, removing excess tissue, or reshaping the contours for symmetry. The incision lines are closed with dissolvable stitches, so there’s no need for removal later.
The entire procedure usually takes around one to one and a half hours. Once finished, you can rest for a short period and then go home the same day. You’ll need someone to take you home, as you shouldn’t drive after surgery—even without general anaesthetic.
Advantages of Local Anaesthetic
Choosing local anaesthetic has several benefits. For one, there’s no need for fasting or pre-operative hospital preparation. You avoid the grogginess, nausea, and longer recovery linked with general anaesthesia. This means a faster, clearer-headed return to daily life.
The risks are also lower. Local anaesthetic is much safer for most people, especially those with certain health conditions that might make general anaesthetic more complicated.
Another advantage is cost. Procedures under local anaesthetic are often less expensive because they don’t require an anaesthetist, hospital theatre, or overnight stay. This makes labiaplasty more accessible to many women who might otherwise hesitate due to financial concerns.
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Lastly, many women feel more in control during the process. Being awake might sound intimidating at first, but in practice, it often helps ease anxiety. Patients can communicate during the procedure, and some even find comfort in being aware of what’s happening.
Will I Feel Pain During or After?
During the surgery itself, no. The local anaesthetic blocks the nerves in the area being treated. You may feel some pulling, movement, or light pressure but not pain.
Afterwards, it’s normal to experience some swelling, tenderness, and mild pain once the anaesthetic wears off. This can be managed with over-the-counter painkillers and by following your post-operative care plan.
Most women say the pain is mild to moderate, similar to soreness after intense exercise or bruising. You’ll be given detailed instructions on how to care for the area, including how to keep it clean and reduce swelling.
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Applying a cold pack (wrapped in a cloth) in the first 48 hours helps ease discomfort. Wearing loose cotton underwear and avoiding any friction to the area are also key. Your surgeon will give you tailored advice based on your recovery progress.
Recovery Timeline
Recovery after labiaplasty under local anaesthetic tends to be smooth and predictable. You can usually return to light activities within a couple of days. Many patients take a week off work, especially if their job involves a lot of movement or sitting for long periods.
Swelling and bruising are most noticeable in the first 5–7 days but gradually fade over two to three weeks. Stitches dissolve on their own, and most women are fully healed within six to eight weeks.
Sex, tampon use, and strenuous exercise should be avoided for at least six weeks to allow complete healing. Your surgeon will let you know when it’s safe to return to your normal routine.
Follow-up appointments are important during this period. They allow your surgeon to check that everything is healing as it should and give you peace of mind as you recover.
Are the Results Permanent?
Yes, in most cases. Once the excess tissue is removed, it doesn’t grow back. The results of labiaplasty are long-lasting, although like any part of the body, the area can still change slightly over time due to ageing, pregnancy, or hormonal shifts.
The vast majority of women report high satisfaction with the outcome. They feel more comfortable, confident, and at ease both physically and emotionally.
Is Local Anaesthetic Right for Everyone?
Most women are good candidates for labiaplasty under local anaesthetic. However, there are exceptions. If you’re very anxious about being awake, have a low pain threshold, or need a more complex procedure, your surgeon might recommend general anaesthesia instead.
It’s also important to have realistic expectations. Labiaplasty can improve comfort and appearance, but it’s not about achieving perfection. Your surgeon will help guide you toward a natural, healthy result that suits your body.
During your consultation, make sure you’re open about your concerns. Ask questions. A good surgeon will explain the pros and cons of both local and general anaesthetic and recommend what’s best based on your situation—not what’s most convenient for them.
RELATED: Labiaplasty FAQs – Q&A about Labia Reduction
Why Choose Centre for Surgery for Your Labiaplasty Procedure?
At Centre for Surgery, we specialise in advanced labiaplasty procedures delivered with precision, care, and discretion. Our Baker Street clinic in central London is a CQC-registered day case hospital, fully equipped for intimate procedures under local anaesthetic, offering a calm and private environment where your safety and comfort are our highest priorities.
We’re proud to be one of the UK’s leading centres for female cosmetic surgery, with a team of GMC-certified plastic surgeons who are experts in labial reduction techniques, including laser and wedge methods. Our all-female nursing team and female chaperones ensure every patient feels supported throughout their surgical journey. From your very first consultation to your final post-op review, you’ll experience an unmatched level of personalised care tailored entirely to your needs.
What Our Patients Say
“The whole process was handled with so much professionalism and kindness. I was very nervous, but the nurse and surgeon made me feel completely at ease. The results have truly boosted my confidence.” – Sarah, 32
“I researched many clinics before choosing Centre for Surgery. I’m so glad I did. From the first phone call to my final check-up, everything was handled with care and discretion. My recovery was smooth and the results exceeded my expectations.” – Emily, 26
“The consultation felt honest and informative. The surgeon didn’t rush me and gave me clear information about risks and outcomes. The surgery itself was quick, and I went home the same day. I wish I had done this years ago.” – Rachael, 38
Why We Stand Out
Centre for Surgery offers transparent, fixed pricing with flexible finance options including 0% APR plans to make treatment more accessible. All procedures are performed by consultant-led teams, and we do not use junior doctors or trainees.
To learn more about our surgical philosophy and values, visit our About Us page. You can also get to know our highly experienced surgeons on our Meet the Team page.
If you’d like to explore more about labiaplasty, recovery expectations, and related procedures, our Plastic Surgery Blog features informative articles written by experts. For general queries about surgery at our clinic, please see our Clinic FAQs.
Book a Consultation
To schedule your confidential labiaplasty consultation at our Baker Street clinic, please contact us on:
📞 0207 993 4849
📧 contact@centreforsurgery.com
📍 95-97 Baker Street, London W1U 6RN
About Centre for Surgery
Centre for Surgery is a leading London plastic surgery clinic offering consultant-delivered procedures in a state-of-the-art day case facility. We are committed to medical excellence, patient safety, and achieving natural, confidence-boosting results.
