Genital mutilation virtually always includes the clitoris. The usual "point" of it is to reduce female pleasure thereby making females less likely to be promiscuous. I'm sure it works as there is often so much pain with urination, let alone sex, after the butchery that the women try to avoid sex at all costs.

That aside, I am deeply deeply saddened by some of the things that have become important in our society. The idea of cosmetic labiaplasty is truly horrifying. As a doc, I have seen zillions of labia over the years. All of the "before" pictures on those web sites are completely normal. I honestly can't imagine why any of those women had surgery. It makes me so sad to think that women are so disconnected from what is really important in life to think that cutting off a 1/2 inch or less of one of their body parts will make life better. Especially when it is a body part that only very few others would ever see, and is doubtful they would care about the symmetry. Plus, those few others should be people who care about the woman. The surgeons should be ashamed of themselves. Any woman who comes to them for surgery should instead be sent to counseling.

Of course none of the above rant applies to someone who has a functional problem. It is very rare, but not unheard of, that labia can be large enough to cause physical problems. But this is extremely uncommon. Of course anyone who has difficulty performing normal physical acts deserves the best modern medicine can offer.