A research charity has launched an animated film hoping it will encourage debate about the surge of women seeking "designer vaginas".
The film called Centrefold, funded by the Welcome Trust, features three women discussing how labiaplasty - the surgical reduction of the inner labia - has affected them.
Last year more than 2000 labiaplasties were carried out on the NHS, and in the last five years there has been a fivefold increase.
Experts believe the total number is likely to be much higher when considering the unregulated private sector, where the surgery costs upwards of £3,000.
Despite the increase in labiaplasty there are no universal NHS guidelines on the size and shape of normal female genitalia.
Researchers say there is little known about the long term effects and are concerned women are not receiving enough psychological support before opting for surgery.
Anxiety dreams
Jessie said she used to spend hours flicking through magazines looking for women with a similar labia to hers. She did not find any.
She said it was "another piece of evidence that there was something wrong with me" and made her feel like a "complete freak".
She experienced recurring dreams where she would imagine her labia as a scarf that would wrap itself around her neck. "There would be people standing around laughing and pointing."
"Shortly after the operation I would dream that they would grow back and I'd wake up in a bit of a panic."
A year on, her dreams no longer occur. She said she feels "really silly talking about it", but it was significant enough to cause her daily anxiety.
