THE PHYSICAL SYMPTOMS: 74% - Tugging during intercourse 72% - Uncomfortable wearing tight clothes 58% - Uncomfortable twisting of labia 54% - Visible labia in exercise clothing 48% - Pain during intercourse 40% - Exposure in bathing suit THE PSYCHOLOGICAL SYMPTOMS: 94% - Self-consciousness over appearance 66% - Negative self-esteem 64% - Less attractive to partner 64% - Negative impact on intimacy 64% - Restrictive clothing choice In the UK, the surgery typically costs between £1,000 to £,3,000, plus the cost of any consultation or follow-up care. Occasionally, a labiaplasty may be carried out on the NHS if the vagina lips are abnormal, causing the woman distress or is harming her health. In the United States, the surgery typically costs anywhere between $3,000 and $8,000. Plastic surgeon, Dr Katzen of Beverly Hills and Orange County suggests the average labiaplasty cost is around $4,500. £788 – SPAIN £794 – HUNGARY £794 – CZECH REPUBLIC 9-years-old Leading adolescent gynaecologist Dr Naomi Crouch told the BBC girls as young as nine were seeking the cosmetic procedure because they were distressed by the appearance of their vulva. >200 More than 200 girls under 18 had labiaplasty on the NHS in 2015-16 – more than 150 of whom were under 15. Kim Kardashian, Sharon Osbourne and Jenna Jameson are amongst celebrities to have undergone labiaplasty surgery. COMMONLY CITED REASONS FOR SURGERY Exploring the Cost Affordable Labiaplasty Abroad Britain’s Youngest Patients The Celebrity Treatment S ource s: The NHS guide to cosmetic procedures International Society of Aesthetic Plastic Surgery (2017) Why Women Request Labiaplasty. Plastic and Reconstructive Surgery journal (April 2017) www.medigo.com (2017)