56 yo mother of one from Denver, Colorado located the office of nationally renowned Urogynecologist and master cosmetic surgeon Dr. Oscar Aguirre through extensive research on vaginal rejuvenation. She has a greater than five year history of undesired appearance of her vulva and vagina. After the vaginal delivery of her child she noticed decreased vaginal sensation which has progressed over the years. She describes herself as being very sexual and having a high desire for sex. Despite this she has never had a vaginal orgasm and would like to. After consulting with Dr. Aguirre and a pelvic examination, she was found to have an Aging Vulva consisting of labial hypertrophy with hyperpigmentation and a ptotic prepuce, as well as Stage II vaginal relaxation contributing to vaginal looseness. All surgical and nonsurgical options were discussed and the patient decided to move forward with the least invasive approach to address her vaginal looseness, and thus she proceeded with laser vaginal resurfacing with a CO2 laser FemiLift series. She also had an O-Shot to enhance orgasmic response, and Laser Reduction Labiaplasty of the Labia Minora with Clitoral Hood Reduction and Clitoropexy for vulvar rejuvenation.