What to Expect at a Labiaplasty Consultation in London
A labiaplasty consultation in London is a private, clinical appointment. In Professor Ben Miranda’s practice, the consultation is the foundation of everything that follows.
It is where he assesses your anatomy, explains your surgical options, and answers every question you have before any decision is made.
You are welcome to ask about anything. Many patients come with a list of questions; others are not sure where to start. Either approach is fine. There is no obligation to proceed, and no decision needs to be made on the day.
This guide explains what the consultation involves at each stage.
Who Is a Labiaplasty Consultation For?
A consultation is for any woman considering labiaplasty or designer vagina surgery who has concerns about the size, shape, or symmetry of her labia minora. You do not need to be certain about surgery. Many patients come to gather information.
You may be experiencing physical discomfort during exercise, cycling, or wearing tight clothing such as swimwear or gym wear.
You may feel self-conscious during intimacy. In some cases, changes after childbirth or hormonal shifts have caused the labia to become enlarged or uneven.
Whatever your reason for seeking advice, his approach is the same.
He takes time to understand your concerns fully before making any clinical assessment or recommendation. Everything discussed is entirely confidential.
What Happens at the Consultation?
The consultation follows a clear and unhurried structure. Here is what to expect at each stage.
The Conversation
He begins with a conversation. He asks about your concerns, your goals, and how long you have been thinking about treatment.
He wants to understand what you hope to achieve before he examines you. This part of the appointment typically takes fifteen to twenty minutes.
You are welcome to bring a friend or family member for support. If you would prefer the appointment to remain completely private, that is equally fine.
The Examination
A brief clinical examination allows him to assess your anatomy accurately. This is the basis for any surgical recommendation he makes. The examination is conducted professionally, and you are in control throughout.
If you are uncomfortable at any point, he stops.
The examination proceeds entirely at your pace.
Discussing Your Surgical Options
Based on the examination, he explains the surgical techniques available to you.
For labiaplasty, the two main approaches are the trim technique and the wedge technique. Each produces a slightly different result, and the best choice depends on your anatomy and what you want to achieve.
He explains both options clearly, including the advantages of each. You leave the consultation understanding exactly what would be involved for your specific case.
Anaesthetic Options
He generally performs labiaplasty under local anaesthetic. This reduces anaesthetic risk compared to general anaesthetic, supports a faster recovery, and allows you to go home the same day.
If you would prefer sedation or general anaesthetic, that can also be arranged.
He discusses this with you at the consultation, and together you agree on the approach that suits you best.
No Obligation to Proceed
At the end of the appointment, you receive a clear explanation of everything discussed, including the procedure, risks, recovery, and what results are realistic for your anatomy.
You are under no obligation to proceed. Many patients take time to reflect before making any decision, and he encourages that.
If you would like to understand pricing before your consultation, you can read his full guide to labiaplasty surgery cost in London.
Procedure Summary at a Glance
Anaesthetic: Local / Sedation (general anaesthetic available on request) Surgery Time: 1 to 2 hours Hospital Stay: Day case — home the same day Initial Recovery: 1 week Time Off Work: 1 week
Your exact price will be confirmed at your consultation. |
How to Prepare for Your Appointment
No special preparation is required before attending your consultation. Here are a few things that help the appointment run smoothly.
Make a list of your questions beforehand. It is easy to forget things in the moment.
Wear comfortable, loose clothing. You will be asked to undress from the waist down for the examination and a chaperone will be present.
If you have any relevant medical history, previous surgeries, or are taking any medication, make a note of these. He will ask during the consultation.
You do not need to do anything specific to prepare the area before attending.
What Happens After the Consultation?
If you decide to proceed, the next step is a pre-operative assessment. This is a separate appointment from the consultation and covers your fitness for surgery, any necessary tests, and your pre-operative instructions.
Surgery is typically scheduled a few weeks after the consultation, giving you time to prepare and ask any further questions. His secretary team are available between appointments and are happy to help with anything you need.
Frequently Asked Questions
How long does a labiaplasty consultation take?
Most consultations last approximately 45 minutes. He does not rush appointments. You have time to ask every question you want answered.
Will I be examined at the consultation?
Yes. A brief clinical examination helps him understand your anatomy and make an accurate recommendation. The examination is professional, discreet, conducted at your pace and with a chaperone present. You are in control throughout.
Is the consultation confidential?
Completely. Everything discussed at your consultation is entirely confidential. His clinics operate in discreet, private settings in London, Hertfordshire, and Essex.
Can I have labiaplasty under local anaesthetic?
Yes. He generally prefers local anaesthetic for labiaplasty. It reduces risk, supports faster recovery, and allows you to go home the same day. General anaesthetic is available if you prefer.
Is labiaplasty available on the NHS?
In most cases, labiaplasty is considered a low priority procedure and in some cases purely a cosmetic procedure and therefore is not easily accessible or may not be available on the NHS. However, where there is a clear functional need, NHS referral may be possible. He was appointed as an NHS Consultant at the St Andrew’s Centre for Plastic Surgery and Burns, one of the largest specialist plastic surgery centres in Europe. He has undertaken several Cosmetic Surgery Fellowships, regularly practises labiaplasty, and is well placed to advise you on the most appropriate route for your individual circumstances.
How long after the consultation can I have surgery?
This depends on your availability and any pre-operative checks required. Surgery is usually scheduled within a few weeks of the consultation. There is no obligation to book on the day.
What questions should I ask at my consultation?
Good questions to ask include: which surgical technique would suit my anatomy best, what results are realistic for me, what are the risks and how are they managed, what does recovery involve, and what follow-up care is included.
Why Consult with Professor Ben Miranda?
He holds the FRCS(Plast) qualification and is a GMC-registered Consultant Plastic, Cosmetic, and Hand Surgeon. He was appointed as an NHS Consultant at the St Andrew’s Centre for Plastic Surgery and Burns.
This reflects a level of surgical volume and clinical complexity that private-only surgeons do not have. He has also published over 120 peer-reviewed research papers, which means his practice is grounded in current clinical evidence.
His labiaplasty consultations are available at 84 Harley Street in London, Spire Bushey Hospital in Hertfordshire, and clinics in Essex.
Each appointment is conducted by him personally. He takes time at every consultation to ensure you feel informed and at ease.
He holds a 5.0-star Google rating at each of his practice sites from over 50 patient reviews at each site, and has received the 2026 Doctify Great Patient Experience award.
To arrange a consultation, contact his secretary team on 0203 763 7999 or email secretary@BenMiranda.com. He sees patients in London, Hertfordshire, and Essex.
