61 yo female from Superior, Colorado Googled vaginal rejuvenation and was intrigued with internationally renowned Urogynecologist and master cosmetic surgeon, Dr. Oscar Aguirre. She is status post two vaginal deliveries and has been bothered by incontinence with sneezing and the aesthetic appearance of her vulva and dark, long, large labia. She experiences pulling and rubbing of the labia with her clothing and during sex. After Dr. Aguirre reviewed with her all nonsurgical and surgical options she proceeded with definitive surgical therapy in an out-patient facility setting. Dr. Aguirre performed a Vaginoplasty, Labiaplasty of the Labia Minora, Clitoral Hood Reduction with Clitoropexy and a medically necessary procedure to address the issue of incontinence.