Size, shape, and skin coloration of the female external genitalia may vary greatly. Although most of these variations are considered normal, some women dislike the large protuberant appearance of their labia, or experience discomfort or pain when wearing tight clothing, exercising, or intercourse. This may cause severe embarrassment with a sexual partner. The most common cause of enlarged labia minora is due to labia hypertrophy. This condition is easily treated with a minor surgical procedure under local anesthesia or sedation. Surgical labial reduction can greatly improve the aesthetic appearance of the abnormally enlarged labia as well as add to comfort in everyday activities.