Labial size concerns are an increasingly common chief complaint by both adolescents and adults despite studies showing a wide variation in sizes of the labia minora in the prepubertal, adolescent, and adult population. A thorough history will elucidate what or whom is driving the concerns, which can then direct management. Educating the patient, caregiver, and referring physician is often all that is needed. Surgery should never be used for cosmetic reasons in a minor.
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