There’s no question who the final decision rests with concerning whether you should have a labiaplasty, breast augmentation or vaginoplasty. The ultimate choice is yours. But because few people make such a decision in a vacuum, you may want to consult and discuss the matter with some people like-
1) If you’re married or sexually involved with someone, probably the most important person other than yourself to discuss the procedure with is your significant other. This is especially true if one of your reasons for doing this is to make yourself more attractive and to improve your sex life. Does he agree that this would bring both of you more fulfillment? Is he willing to give you the several weeks you’ll need to recover from the procedure (including, in the case of labiaplasty and vaginoplasty about six weeks with little or no sexual contact)? Please remember, though, that if you’re with someone who insists that he will only accept you if you have plastic surgery, then you have a more serious issue–one of having a partner who is possibly psychologically abusive.
2) A second important person to discuss the procedure with is someone who has “been there, done that.” For instance, perhaps you have a friend who has had a similar procedure. Even better, maybe you can get your surgeon to put you in contact with one of his former patients. Such a contact allows you to find out first-hand what a surgeon is like, what the procedure is like, and what to expect during recovery.
3) Of course, the plastic surgeon himself will help you decide whether to have the procedure done. He does this in a couple of ways. First, he/she will help you decide, based on your wants and your background, whether plastic surgery is for you. Will it help you address the issues that you want addressed? Second, if you’ve done your job well, he will help you decide by answering your questions. You should take a list of questions with you into the surgeon’s office and ask about everything that might be weighing on your mind: How is the procedure done, how qualified is she, how much will it cost, and what will be expected of you in the weeks and months following the surgery?
4) Which brings us back to you: After you’ve heard all the advice, it comes down to listening to your gut. Is this really the thing that will help you feel more confident? Are you willing to accept the associated risks? If so, then it’s time for you to put the wheels into motion.