While Female genital mutilation (FGM) is primarily associated with cultural traditions in parts of Africa, the Middle East, and Asia, its parallels with elective cosmetic procedures in the Global North, such as labiaplasty, demand critical attention. This chapter argues that labiaplasty, akin to FGM, is harmful and requires stricter regulation in Canada. Employing legal and visual semiotics, it examines the sociocultural and legislative frameworks surrounding these practices, highlighting the problematic depictions of women and girls. The chapter begins by establishing similarities between FGM and labiaplasty, focusing on their non-medical motivations and physical consequences. It then explores the role of international law in addressing these practices and critiques Canada’s domestic legislation, analyzing gaps and inconsistencies in its approach. Finally, the chapter provides actionable recommendations to regulate labiaplasty, drawing on insights from legal, medical, and feminist perspectives.