29 yo mother of one from Littleton, Colorado located the office of Urogynecologist and cosmetic surgeon Dr. Oscar A. Aguirre through an online search for Labiaplasty. She has a ten year history of aesthetic concerns regarding her vulva. At the age of fifteen she had a straddle injury which resulted in vaginal bleeding and trauma from a labial tear. Since her vaginal delivery she feels that her labia are darker and larger causing discomfort. Upon examination she was found to have bilateral labial hypertrophy and hyperpigmentation as well as redundant and dark perineal skin and large clitoral hood. Dr. Aguirre recommended an in-office surgical procedure to include Labiaplasty of Labia Minora, Clitoral Hood Reduction with Clitoropexy and Perineoplasty. She was eager to move forward with the procedure.