This is an 18 year old female from New Haven, Connecticut, who had uneven labia size since puberty. This bothered her cosmetically and the right side would often protrude out of her underwear. Dr. Jandali performed a labiaplasty on the right side only, in order to make her labia even in size. This was performed in the office procedure room under local anesthesia. She was very happy with the smaller symmetric labia after surgery.