This article will provide a thorough review of female genital anatomy relevant to labiaplasty and clitoral hood surgery. The anatomic variation in female genital anatomy makes tailoring the procedure to the individual patient a critical component of a successful surgery and esthetic outcome. Curvilinear trim resection is the most popular labia minora reduction technique. The alternative is the wedge. Clitoral hood reduction is rarely performed as a stand-alone procedure and is an adjunct to labiaplasty surgery, no matter the technique used. Labiaplasty has a high satisfaction rate and low complication rate.