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The film takes us into the work of a former sexually exploited youth-turned-activist named Rachel Lloyd, who started the New York City organization GEMS Girls Educational and Mentoring Services to help victimized young women escape their pimps and find another way of life.

We meet teen aged girls at different stages of this transition.

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Some have been so psychologically manipulated by their pimps that they feel compelled to return. Others have successfully broken with their pasts. As we come to know these girls better, they emerge as well-rounded individuals full of unexpected laughter and insight.

One chilling element the film uncovers is a videotape - confiscated by police - of two pimps recording their activities with the intent of making a reality television show.

Very Young Girls () - Photo Gallery - IMDb

Later we see Lloyd get recognized for her work at a human rights awards ceremony Naomi Crouch, chair of the British Society for Paediatric and Adolescent Gynaecology, said that while GPs are referring increasing numbers of young girls for the operation, she has never come across a girl who needed it for medical reasons.

De Zulueta told the BBC. It's very normal for the lips to protrude. One girl in her 20s, given the pseudonym Anna, told the BBC she considered having the surgery when she was 14 but later changed her mind — and was glad she did because she now realises she looks "totally normal".

People around me were watching porn and I just had this idea that it should be symmetrical and not sticking out," she said.

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I remember thinking, 'If there's surgery for it, then clearly I'm not the only one who wants this done, and maybe it won't be that big a deal'. More needs to be done to educate girls from a young age that "just as we all look different in our faces — we all look different down there, and that's OK," Dr. De Zulueta added.

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NHS England says it only carries out the procedure for clinical conditions — not cosmetic reasons which, Dr. De Zulueta said, leads girls to exaggerate their physical symptoms to get surgery.

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Crouch said she found it difficult to believe that "there are girls with a medical abnormality which means they needed an operation on their labia," adding that labiaplasty should only be carried out in those circumstances. Current Western culture is to have very small lips, tucked inside. I see this as the same thing.

For more news and reporting on cosmetic and non-cosmetic procedures targeted at women's vaginas, visit our YourVaginasFine microsite.