How Much Does Labiaplasty Cost in 2026?
Labiaplasty surgery costs between $3,000 and $9,000 in the United States in 2026, with the national average falling around $5,200. According to the American Society of Plastic Surgeons (ASPS), the average surgeon's fee alone is approximately $3,600, but total costs including anesthesia, facility fees, and post-operative care push the all-in price considerably higher.
Labiaplasty — the surgical reshaping or reduction of the labia minora or labia majora — has seen a significant increase in demand over the past decade. ASPS reports that labiaplasty procedures have increased by over 50% since 2015, making it one of the fastest-growing cosmetic surgeries in the country. This growing demand has also led to wider price variation depending on your location, surgeon, and chosen technique.
Whether you're considering labiaplasty for functional relief from chronic discomfort or for aesthetic reasons, understanding the full cost picture is essential for making an informed decision. Below, we break down every cost factor in detail.
Cost by Surgery Type
Labiaplasty isn't a one-size-fits-all procedure. The surgical technique, the extent of tissue removal, and whether additional procedures are combined all affect the final price.
| Procedure Type | Average Cost | Cost Range |
|---|---|---|
| Trim Technique (most common) | $4,800 | $3,000 – $7,000 |
| Wedge Technique | $5,500 | $3,500 – $8,000 |
| De-epithelialization Technique | $5,800 | $4,000 – $8,500 |
| Clitoral Hood Reduction (add-on) | $2,500 | $1,500 – $3,500 |
| Combined Labiaplasty & Perineoplasty | $7,500 | $5,500 – $10,000 |
| Labia Majoraplasty (reduction or augmentation) | $5,000 | $3,500 – $7,500 |
The trim technique is the most straightforward and typically the least expensive, while the wedge technique preserves the natural labial edge and may require more surgical precision. Combining procedures — such as adding a clitoral hood reduction — increases the total cost by $1,500–$3,500.
Cost by State
Geographic location is one of the biggest cost drivers for labiaplasty. Surgeons in high-cost-of-living metro areas charge significantly more than those in smaller cities and rural regions.
| State | Average Cost | Cost Range |
|---|---|---|
| California | $6,800 | $5,000 – $9,000 |
| New York | $7,000 | $5,500 – $9,500 |
| Florida | $5,500 | $4,000 – $7,500 |
| Texas | $5,000 | $3,500 – $7,000 |
| Illinois | $5,200 | $3,800 – $7,000 |
| Pennsylvania | $5,000 | $3,500 – $6,800 |
| Ohio | $4,500 | $3,000 – $6,000 |
| Georgia | $4,800 | $3,200 – $6,500 |
| North Carolina | $4,700 | $3,200 – $6,500 |
| Arizona | $4,600 | $3,000 – $6,200 |
| Colorado | $5,300 | $3,800 – $7,200 |
| Washington | $5,800 | $4,200 – $7,800 |
Patients in Ohio, Arizona, and Georgia can expect to pay $2,000–$3,000 less than those in New York City or Los Angeles for a comparable procedure.
Insurance vs. No Insurance
Whether insurance covers your labiaplasty depends entirely on whether the procedure is classified as medically necessary or cosmetic.
| Coverage Type | Typical Out-of-Pocket Cost | What's Covered |
|---|---|---|
| Private Insurance (medically necessary) | $1,000 – $3,000 | Surgeon, facility, and anesthesia fees after deductible and copay; requires prior authorization and documented medical necessity |
| Medicare (medically necessary) | $1,000 – $2,500 | Part B may cover 80% of approved amount; patient pays 20% coinsurance plus Part B deductible |
| Medicaid (medically necessary) | $0 – $500 | Coverage varies by state; some states cover functional labiaplasty with documented necessity |
| Without Insurance (cosmetic) | $4,000 – $9,000 | Nothing covered; patient pays full surgeon, anesthesia, and facility fees |
To qualify for insurance coverage, you'll typically need documentation of chronic pain, recurrent infections, difficulty with hygiene, or significant functional impairment caused by labial hypertrophy. A referral from your gynecologist and photographs may be required for prior authorization. Purely cosmetic labiaplasty is classified as elective and is not covered by any insurance plan.
Cost Breakdown: What's Included in the Total Price
A labiaplasty quote should be all-inclusive. Here's what makes up the total cost:
| Cost Component | Typical Range |
|---|---|
| Surgeon's Fee | $2,500 – $5,500 |
| Anesthesia (local vs. general) | $500 – $1,200 |
| Facility/Operating Room Fee | $500 – $1,500 |
| Pre-Operative Lab Work | $100 – $300 |
| Post-Op Medications (antibiotics, pain relief) | $50 – $150 |
| Compression Garments / Supplies | $30 – $100 |
| Follow-Up Visits (1-3 appointments) | $0 – $300 (often included) |
Pro tip: Always ask if follow-up visits are included in the quoted price. Some practices charge separately for post-operative appointments, which can add $100–$300 to your total.
Factors That Affect Labiaplasty Cost
Geographic Location
Cost of living directly impacts surgical pricing. A labiaplasty in Manhattan may cost twice as much as the same procedure in a mid-sized city in the Midwest. Urban centers with high demand and high overhead charge premium rates.
Surgeon Experience and Credentials
Board-certified plastic surgeons or urogynecologists who specialize in labiaplasty typically charge 20–40% more than general practitioners or less experienced surgeons. This premium often translates to better outcomes, fewer complications, and more natural-looking results.
Surgical Technique
The wedge and de-epithelialization techniques require more surgical skill and time than the trim method, which can increase the surgeon's fee by $500–$1,500. More complex revisions or combined procedures add further cost.
Anesthesia Type
Labiaplasty performed under local anesthesia with oral sedation in an office setting can save $500–$1,500 compared to general anesthesia in a surgical center. Many experienced surgeons offer the in-office option for straightforward cases.
Facility Type
Hospital-based procedures cost more than those performed in accredited ambulatory surgery centers (ASCs) or private office-based surgical suites. ASCs typically charge 30–50% less in facility fees compared to hospitals.
Extent of Correction Needed
Minor reductions require less operative time and tissue handling than significant asymmetry corrections or revision labiaplasties. Revision surgery after a previous labiaplasty can cost $1,000–$3,000 more than a primary procedure due to scar tissue and increased complexity.
How to Save Money on Labiaplasty
- Get Multiple Consultations: Obtain quotes from at least 3 board-certified surgeons. Prices can vary by $2,000+ for the same procedure in the same city. Many surgeons offer free or low-cost initial consultations.
- Choose Local Anesthesia When Possible: If your surgeon offers labiaplasty under local anesthesia in an office setting, you can save $500–$1,500 on anesthesia and facility fees without compromising safety.
- Consider Lower-Cost Regions: Traveling to a state like Ohio, Arizona, or Texas can save $2,000–$4,000 compared to coastal cities. Factor in travel costs — you'll still likely come out ahead.
- Pursue Insurance Coverage: If you have functional symptoms — pain during exercise, chronic irritation, hygiene difficulties — document everything with your gynecologist. A strong medical necessity case can shift thousands of dollars to your insurer.
- Ask About Package Pricing: If combining labiaplasty with another procedure (such as clitoral hood reduction), request bundled pricing. Surgeons often discount the second procedure by 20–30% when performed simultaneously.
- Use HSA/FSA Funds: If your procedure qualifies as medically necessary, Health Savings Account or Flexible Spending Account funds can be used, effectively giving you a tax discount of 20–35% depending on your bracket.
- Negotiate or Ask About Cash Discounts: Many practices offer a 5–10% discount for upfront cash or check payments, since they avoid credit card processing fees and financing costs.
Financing Options for Labiaplasty
| Financing Option | Details | Typical Terms |
|---|---|---|
| CareCredit | Medical credit card accepted at most plastic surgery practices | 0% APR for 6–24 months; 14.9–26.99% APR after promo period |
| Prosper Healthcare Lending | Fixed-rate medical loans | $2,000–$35,000; terms of 24–84 months; rates from 5.99% APR |
| In-House Payment Plans | Offered directly by many surgical practices | Typically 3–12 months; often 0% interest; may require 25–50% deposit |
| HSA / FSA | Pre-tax health savings for medically necessary procedures | Tax savings of 20–35%; must qualify as medical necessity |
| Personal Loan | Through banks, credit unions, or online lenders | $1,000–$50,000; 6.99–24% APR; 12–60 month terms |
Most patients who finance labiaplasty use CareCredit or an in-house payment plan. If you can pay off the balance within the promotional 0% APR window, financing adds zero additional cost to your procedure.
Pro Tips from the Experts
Choose your surgeon over your price. Labiaplasty is a delicate procedure with results you'll live with permanently. A board-certified plastic surgeon or fellowship-trained urogynecologist with extensive labiaplasty experience is worth the extra investment. Ask to see before-and-after photos of at least 20 patients.
Request an itemized all-inclusive quote in writing. The number one source of surprise costs is vague pricing. Your written quote should include surgeon fees, anesthesia, facility charges, all follow-up visits, and any post-op supplies. If a practice won't provide this, consider it a red flag.
Plan your recovery time realistically. While you may feel fine after a few days, rushing back to strenuous activity or tight clothing can compromise your results and lead to costly revision surgery. Budget for at least 5–7 days off work and 6 weeks before returning to full physical activity.
Document everything if pursuing insurance coverage. Take photos, keep a symptom diary, and have your gynecologist write a detailed letter of medical necessity before your consultation with a surgeon. Insurance companies deny vague requests — specificity wins approvals.