Labia reduction surgery primarily refers to the removal of excess, uneven inner lips at the vaginal entrance which often causes irritation, chaffing and discomfort with sports, exercise, cycling and during sex. Form fitting clothing, tights, thongs, and bathing suits cannot be satisfactorily worn due to the bulk of the tissue. Many women find the size or irregularity of the smaller lips to be aesthetically unpleasant and simply desire a more ‘natural’ look. No one knows why this happens. We frequently see enlarged labia in teenagers. Once the labia have been recontoured they do not grow back. Radiosurgery is the method of choice for reduced post-operative discomfort, minimal scar formation, enhanced healing and excellent cosmetic results.