25 yo female from Denver, Colorado located nationally renowned Urogynecologist and master cosmetic surgeon, Dr. Oscar Aguirre through a google search for “Denver Labiaplasty.” She has a long history of undesired cosmetic appearance of her vulva and recalls first noticing excess labia skin at age eight. She is bothered by her long labia minora which protrude significantly beyond her mons. She is unable to wear form-fitting clothing and is very self-conscious with regard to intimacy. Examination was performed by Dr. Aguirre while patient observing with a hand-held mirror. She was found to have excessive clitoral hood converging with the posterior aspect of the labia. Details were demonstrated to the patient as well as the planned surgical approach. Patient scheduled the procedure and Dr. Aguirre performed Laser Reduction Labiaplasty of the Labia Minora with Clitoral Hood Reduction as an in-office surgical procedure. She returned to the office for regular postop visits, very pleased with the outcome.