Introduction: Enlarged labium minus can be annoying for functional, aesthetic or social reasons. In the past, labia reduction was performed by amputation of the protuberant segment and over sewing the edge. However, this technique removes the natural shape and color of the edge of the labium minus. The V wedge De-Epithelialization was presented in year 2000 with better aesthetic results and less side effects. This study was aimed to investigate the side effects and results of the V wedge de-epithelialization technique with unique cultural and social characteristics of our context.Method: This quasi-experimental study was conducted on 40 married female candidates for labial reduction between July to March 2022. These participants were chosen by convenience sampling method. This group of females treated by V wedge de-epithelialization technique and followed up one month after the surgery. Side effects scale, female sexual function (FSFI) and genital appearance satisfaction (GAS) scales were employed for data collection in this research. Data were analyzed using SPSS v.22 software. Results: More than two third of samples were between 35 to 40 years of old and 68 % were employed. About 24 % had an academic education degree and most of participants had a diploma degree. Wound dehiscence was seen in less than 10 % samples after one month follow up. The new method showed a significant FSFI improvement scores compared with pre operation scores(p<0/05).statistical significant differences was seen in GAS scores before and after the operation and one month’s follow up too.Conclusion:  In terms of aesthetic aspect, the V wedge de-dpithelialization technique for labial reduction has better results in sexual function and general appearance satisfaction with fewer side effects and risk compared with older lobectomy techniques.

Dr. Bahareh Arbabi, a dedicated OBGYN and board- certified cosmetic gynecologist from Iran, has been making waves in her field for over a decade. With a remarkable record of 3000+ deliveries and 800 successful cosmetic gynecology surgeries, she stands as a shining star in the world of women's health. Dr. Bahareh has earned prestigious Fellowship in Stem Cell and Regenerative Medicine from IASRM India and Fellowship in Cosmetic Gynecology from ABCG. She is also a faculty member in a Cosmetic Gynecology course in Dubai, showcasing her dedication to education. Dr. Bahareh has graced stages around the globe, sharing her expertise at events like the ISRAM World Congress 2023 in India, Aptos Company event Georgia, ESAG London, and the IMCAS World Congress Paris 2024. Her influence extends to her membership in ISSM (Sexual Medicine) in Dubai. In her homeland, Dr. Arbabi serves as the Head of the Cosmetic Gynecology Department and holds the esteemed position of a university professor at the University of Medicine in Isfahan city. Her commitment to education is evident through her collaboration with headmasters in Tehran, where she has conducted over 50 workshops on cosmetic surgeries in gynecology