The costs for labia surgery depend on the type and duration of the procedure and range between EUR 2,900 and EUR 6,200 Euro; fees for complex reconstructions are somewhat higher. If the procedure is being performed under twilight sedation or general anesthesia, the anesthetist fees are charged in addition to the usual cost of the surgery. Reduction/tightening of the labia majora, approx. 2.0 hours operating time EUR 4,300 Filling (Lipostructure) of the labia majora, approx. 1.5 hours operating time EUR 2,900 Reduction/tightening/filling of the labia majora, approx. 2.5 hours operating time EUR 6,200 If the procedure is being performed for cosmetic reasons alone, VAT of 19% is applied to the costs, in accordance with German law. If the main reason for the operation is due to medical impairments, e.g. pain during sexual intercourse or playing sport, a deflected urinary stream, skin irritation, or frequent bladder or fungal infections, VAT is not applicable. Before the day of the surgery, you need to provide confirmation from your gynecologist that there is a medical indication for surgery. A brief written confirmation that the reduction of the labia minora is being performed for medical reasons is sufficient. The fee for the operation must be settled before the day of the surgery. A deposit of EUR 500 is required to secure an appointment for surgery Operating time and costs.