27 yo female from Denver, Colorado located the office of renowned Urogynecologist and master cosmetic surgeon Dr. Oscar Aguirre of Englewood, Colorado through an internet search for Labiaplasty. She is unhappy with the aesthetic appearance of her large labia, as it contributes to her being very self- conscious as well as being very uncomfortable during sex. Upon examination she was found to have labial hypertrophy with hyperpigmentation as well as redundant lateral prepuce bilaterally. There is also the presence of a left labia majora condyloma. Dr. Aguirre consulted with the patient extensively regarding all surgical and nonsurgical options of which she decided to proceed with definitive surgery therapy. Dr. Aguirre performed in an in-office surgical setting, Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction with PRP (Platelet Rich Plasma) to the surgical site and Ablation of left Labia Majora Lesion. She returned to the office postoperatively, very pleased with her results.