50 yo mother of two from Centennial, Colorado referred by her local OBGYN to the office of Board Certified, Fellowship-Trained Urogynecologist and renowned cosmetic surgeon Dr. Oscar Aguirre for bladder leakage issues. During initial consultation, she also described a long history of concerns with regard to the aesthetic nature of her vulva. She states that she has noticed decreased sensation with sex. Aesthetically, upon examination, she was found to have bilateral and asymmetric hypertrophy with hyperpigmentation of the labia minora as well as excess clitoral hood skin. Following further medical testing, she was confirmed to have Stress Urinary Incontinence with Urethral Hypermobility in the presence of complex Pelvic Organ Prolapse and Abnormal Uterine Bleeding. After thorough discussion of surgical and non-surgical options, she decided to proceed with surgery as recommended. Dr. Aguirre first performed Supracervical Abdominal Hysterectomy, Abdominal Sacrocolpopexy, Rectocele Repair, Mid Urethral Sling with RetroArc, Paravaginal Repair and Anal Tag Excision, in an In-Patient Hospital setting. One week later in an office surgical setting, Dr. Aguirre performed Laser Reduction Labiaplasty of the Labia Minora and Clitoral Hood Reduction with Clitoropexy. She returned to the office for regularly scheduled postop visits, well healed with excellent results.