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Physicians have neglected aesthetic surgery of the female external genitalia. However, awareness of female genital aesthetics has increased owing to increased media attention, both from magazines and video. Women may feel self-conscious about the appearance of their labia majora (outer lips) or, more commonly, labia minora (inner lips). The aging female may dislike the descent of her pubic hair and labia. A large pubic fat deposit may be unsightly. Because very few physicians are concerned with the appearance of the female external genitalia, many women seeking help are frustrated.