31 yo female from Alamogordo, New Mexico located the office of Urogynecologist and master cosmetic surgeon, Dr. Oscar Aguirre through an internet search for Labiaplasty. She has a greater than fifteen year history of undesired cosmetic appearance of her vulva. Since puberty she has been bothered by her large and dark labia minora which have increased in severity as she has aged. Dr. Aguirre performed a thorough examination, with a chaperone present. After discussing all surgical and nonsurgical options, she decided to proceed with definitive surgical therapy. Dr. Aguirre performed an in-office laser reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction with Clitoropexy, Excision of Excess Perineal Skin and Excision of Excess Lateral Labia with PRP Injection to the tissues. At her regularly scheduled postop visit she was found to have excellent results with good symmetry. Patient is very happy with her results.