
SERVICE
Labiaplasty
Dr. Susan Hardwick-Smith is Texas’s resident expert in labiaplasty procedures. Regularly named one of Houston’s top gynecologists, she has over 600+ labiaplasty surgeries in her history performed over the past 15 years. She consults and offers a surgical solution to women who are bothered by the size, shape, color, or symmetry of their natural labia minora and excess clitoral hood tissue, as well as laxity of the labia majora.
Interested in labiaplasty?
You’ve come to the right person. Dr. Susan has spent her career helping women feel at home in their bodies — physically, emotionally, and spiritually. She understands firsthand how something seemingly cosmetic can shape daily life.
“After I had my twins at 37,” Dr. Susan says, “I had a large flap of abdominal skin that no amount of exercise could reduce. I wore special garments, chose vacations to avoid showing it, and had sex with the lights off. After two years, I had it removed. It seems vain, but that small change gave me back so much ease with my body — what I could wear, where I could go, how I felt.
Labiaplasty is the same. Every woman has the right to make decisions about her own body, whether it’s a natural body part, a tattoo, dyed hair, or straight teeth. We’re allowed to feel confident and beautiful on the outside, knowing full well we’re beautiful on the inside.”


How a Labiaplasty Surgery Is Performed
How Your Appointment Works
- Prior to surgery, you’ll visit our office for a consultation. Consultations take 30 minutes.
- Surgery is performed at an outpatient surgery center in the Museum District.
- Your outpatient procedure means you can go home the same day, and while you should avoid exercise or strenuous activity for at least two weeks, you’ll be able to start resuming normal daily functions within 2-3 days.
Real Patient Experiences

Why Dr. Susan?
- A quiet, private practice. Consistently voted one of Houston and Texas’s top gynecologists, Dr. Susan sees labiaplasty patients at Complete Midlife Wellness Center — no crowded OB/GYN waiting room, no long delays.
- Over 600 labiaplasty procedures. Dr. Susan is one of the region’s leading experts, with the technical experience and personal empathy to guide you through every stage as a woman herself.
Frequently Asked Questions
Surgery is performed at an outpatient surgery center in the Museum District. This is a top of the line cosmetic surgery center with highly trained Physician anesthesiologists (not anesthesia nurses) and a seasoned cosmetic surgery support team.
Patients receive intravenous IV anesthesia so you are safely asleep and feel no pain. Prior to waking up, we administer a long acting local anesthetic that will keep you pain free for 8-12 hours.
Most patients go home about two hours after the surgery and remain very restful for a few days, with no strenuous exercise for two weeks.
At your two week appointment, we will discuss advancing to more activities, but most patients can return to work within a week. Most patients return to unrestricted activity, including sexual activity, within 4 to 6 weeks.
Most patients find pain to be minimal. We use a long acting local anesthetic that works for 72 hours,e so most patients only need to take over-the-counter pain medicine if any.
Since the labia minora is just skin and there are no muscles involved in the surgery, and no major blood vessels, the risks are very minimal. Like all surgery, we will go over a detailed consent form at your pre-op visit and we will outline all possible risks, although they are extremely rare.
With hundreds of cases, we have never had a patient experience any adverse sexual consequences. We have, however, had many patients feel an improvement in their sexual desire and sensation. This is not from the surgery itself, but rather because improved self-confidence is a great way to improve sexual desire and sensation.
Dr. Susan has been focusing on cosmetic gynecology since 2008, performing more than 600 labiaplasty procedures.
No, because all labia minora sizes are within the realm of normal anatomy, and this is not a medically necessary procedure but rather personal choice. Similar to changing the size of your nose or breasts, it is an optional procedure that is not covered by insurance.
Many of our patients are teenagers, and it is good to wait until at least 3 years after the onset of puberty (first period) because things can continue to change. Patients under 18 need parental consent, and may be good candidates if the benefits are agreed to outweigh the risks.

Labiaplasty FAQs
Dr. Susan addresses frequently asked questions about labiaplasty.

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