But plastic surgery isn't really comparable to the "herbal growth stimulants" and vacuum pumps spammers are pitching at men.

There are three major differences:

1. A woman who chooses to have labiaplasty will actually receive something for her money, unlike most people who respond to spam who receive absolutely nothing.

2. In the unlikely event that a male spam respondent does actually receive something for his money, it will do absolutely nothing. Labiaplasty actually works, at least on the physical level. Whether it does anything of true value in most cases is another matter.

3. You can give a plastic surgeon your credit card and pretty much rest assured he or she isn't going to use the number to buy $500 worth of music downloads on the Internet.