Labiaplasty - Is it Simply Cosmetic?

Reasons for pursuing labiaplasty extend well beyond cosmetic concerns. As a reconstructive urologist, I've always appreciated public acceptance of male circumcision when patients desire the procedure. Frequently, men desiring circumcision report pre-operative pain with intercourse, difficulty urinating or other functional problems as the motivation for undergoing the procedure. Approximately 80% of males in the US are circumcised, creating an unintentional aesthetic norm in the minds of many men.

Here is a well put together paper by reputable pelvic reconstructive surgeons, discussing reasons why women pursue labiaplasty:

http://www.miklosandmoore.com/pdf/2008/Labiaplasty%20of%20the%20Labia%20Minora%20March%202008.pdf