Treatmant of vulvar or vaginal distortion, whether real or perceived, falls under the realm of gynecology. Whether there is vaginal laxity, leading to decreased sexual sensation, or pain with intercourse related to vaginal "stenosis" or relative small size, repair of the condition is possible. Contrary to what you might have read on other web sites, these procedures are indeed considered medically necessary and are generally covered by insurance. Reconfiguring the labia for cosmetic reasons may or may not be a covered benefit under your insurance plan, depending on the reason for the plastic repair. Asymmetry and redundancy of the labia minora are the usual reasons to perform labial reduction or labioplasty.