Introduction: Threads in facial surgery have been used extensively 1,2 . The authors describe a simplified technique of hymenoplasty, vaginal tightening and labiaplasty under local anesthesia using threads. After proper learning of the technique, complications are minimal and results are excellent. Labiaplasty Patients are operated in the lithotomy position. Careful antisepsis is done with povidone iodine. 2% chilled xylocaine in normal saline in a ratio of 20cc 2% xylocaine + 60cc of 0.9% normal saline is used as anesthesia using ultra-fine insulin syringe for the initial spurt, and fine lamis syringe for infiltration of the rest of labia portion to be operated. We use fine scissors for trimming edges of the cut / broken / lacerated labia. We repair labia majora using prolene 3/0 interrupted / continuous sutures. However, catgut 3/0 sutures, can also be used. For the labia minora, we use catgut 3/0 sutures either continuous or interrupted (Figs 1 & 2).