Enlarged or hypertrophic labia minora (inner) can be functionally or psycho-socially bothersome. Local irritation, problems with personal hygiene, interference with sexual intercourse and discomfort during cycling, horse back riding, wearing exercise clothing, walking or sitting are indications for surgical reduction.
It is almost never necessary to address the outer labia . Sometimes fat injections can be done here in case these are atrophic , especially in older people.
There is a lot written about clitoral hood reduction on the web but : rarely necessary, as this body part then will become uncovered and this is more sensitive then. In my opinion this is more of a commercial item which is a lot described on websites for commercial reason.
Beware also the websites which mention vaginal tightening : I’ve discussed this extensively with many gynaecologists :
What they actually do is lifting the inner lining at the outer third of the vagina, and then plicating the perineal muscles. However, side-effects are not uncommon here, as this can occur after episiotomy after child delivery. Painful scars may arise after this procedure , leading into dyspareunia.