I want to thank all of you for offering your comments, but how did this go from a labia procedure for reasons purely related to discomfort, to 'genital mutilation' having to do with the clitoris etc, and a discussion of why not to do it for cosmetic reasons? This problem is truly uncomfortable, for anyone riding over 20 miles at a time, much less over 150 miles a week...that being said and even in spite of this, no sensible person in her right mind would subject themselves to this kind of surgery (and risk) to meet "the ideal".
The biggest problem is finding a doctor who is competent, and I don't think there is any way to really know that. Believe me (and no offense doc, your comments were duly noted) not only would a man not understand how this feels, but physicians and surgeons are human and make mistakes and mess up just like any human. The ongoing discomfort is a concern, but there are sure bigger ones in life...some of you sound like you've had nightmares at the hands of the medical profession. I feel for all of you!