Background <p>Labiaplasty, a surgical procedure aimed at reducing the size of the labia minora, represents the most frequently performed female genital cosmetic surgery. This study aimed to systematically investigate the factors motivating women to undergo labiaplasty and to assess the surgery's impact on body image, genital self-image, sexual satisfaction, and body confidence, both pre- and postoperatively.</p> Methods <p>This prospective study included 88 patients who underwent labiaplasty, all performed by the same surgical team. Postoperative follow-up assessments were carried out during the first week, first month, and third month. All patients were allowed to practice sexual intercourse one month after the surgery. Any complications or cases requiring revision surgery were documented. All patients completed the 19-item Female Sexual Function Index (FSFI) and the 7-item Female Genital Self-Image Scale (FGSIS) questionnaires before the surgery and at the third month postoperatively.</p> Results <p>When comparing the preoperative and postoperative total scores of the Female Genital Self-Image Scale (FGSIS), the postoperative score indicated a statistically significant improvement. The total score of the Female Sexual Function Index (FSFI) increased from 15.8 ± 2.6 preoperatively to 28.2 ± 2.7 postoperatively, also showing statistical significance (<i>p</i> &lt; 0.001).</p> Conclusions <p>In our study, both total FSFI and total FGSIS scores were significantly higher post-surgery. This improvement can be attributed to the psychological recovery and confidence gained by the patients, leading to greater sexual and social fulfillment.</p> Level of Evidence IV <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors&#xa0;<a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>