30 yo woman from Centennial, Colorado with a lifelong history of undesired cosmetic appearance of her vulva, located the office of Board Certified, Fellowship-Trained Urogynecologist and master cosmetic surgeon Dr. Oscar A. Aguirre through an internet search for Labiaplasty. Since becoming sexually active, she has difficulties with sex due to labial pulling and dragging but also being self-conscious. She is also uncomfortable with exercise. She desires aesthetic vulvar surgery consultation. Upon examination, Dr. Aguirre found her to have bilateral labial hypertrophy with hyperpigmentation as well as redundant lateral prepuce bilaterally with excess prepuce and ptosis. After discussing all surgical and nonsurgical options, she proceeded with scheduling the recommended in-office surgical procedure. Dr. Aguirre performed Laser Reduction Labiaplasty of the Labia Minora and Clitoral Hood Reduction with Clitoropexy and PRP (Platelet Rich Plasma) injection to the surgical wounds. She returned to the office for regularly scheduled postop visits with excellent results.