27 yo female from Morrison, Colorado referred to Dr. Oscar Aguirre through a mutual friend for vaginal looseness. In 2004 she had a vaginal delivery and since that time she described sex as excellent but would like to enhance her pleasure. She is unhappy with the gaping appearance of her vagina and the asymmetry of her labia minora. After discussing options with her and her partner, Dr. Aguirre performed an in-office Laser Reduction Labiaplasty of the Labia Minora and an excision of Excess Perineal skin. Combining the preop and postop appointments with the FemiLift procedure (Laser Vaginal Tightening) (3 treatments, 10 min each, 4-6 weeks apart) to address the vaginal looseness, eliminated the need for additional unnecessary office visits.