26 yo woman with a lifelong history of undesired cosmetic appearance of her vulva, located the office of Urogynecologist and master cosmetic surgeon Dr. Oscar Aguirre of Englewood, Colorado through an internet search for Labia Reduction. She recalls that since middle school she has been bothered by her very large and dark Labia Minora. The labia are bothersome when wearing formfitting clothing and with certain exercises. After several years of research she was ready to move forward with surgery. During her initial consultation with Dr. Aguirre, all surgical and non-surgical options were discussed in detail. The surgical procedure was scheduled and Dr. Aguirre performed, in an office surgical setting, Laser Reduction Labiaplasty of the Labia Minora and Clitoral Hood Reduction with Clitoropexy. She returned to the office for her post-op visits very happy with her results.