40 yo mother of two from Denver, Colorado was referred to nationally renowned Urogynecologist and master cosmetic surgeon, Dr. Oscar Aguirre by a former patient, for aesthetic concerns. She has a 15 year history of being bothered by the aesthetic appearance of her vulva due to large, dark labia minora, which protrude beyond her majora. She has also noticed over the years, a decrease in vaginal sensitivity as well as a lack of vaginal wetness. Upon examination Dr. Aguirre found her to be an excellent candidate for in-office Labiaplasty of the Labia Minora, Clitoral Hood Reduction on the right lateral side as well as Excision of Anal Tags, found during her exam. Patient agreed this was the best option and decided to move forward with procedures as recommended. She is very pleased with her outcome.