44 yo mother of one from Parker, Colorado referred to the office of Dr. Oscar Aguirre, a nationally renowned Urogynecologist and master cosmetic surgeon in Englewood, Colorado, by her local Primary Care Physician. She has a twenty year history of undesired cosmetic appearance of her vulva. She states she has always been unhappy with her large labia, but in her thirties she realized that hers were much larger than other women’s. She has been very self-conscious with intimacy and has avoided sexual relations with men in the past because of the size of her labia. She is also bothered by discomfort from her labia with tight and formfitting clothing. She is unable to wear a bikini or jeans because of it. She has difficulties with achieving orgasm and has noticed decreased sensation with sex. Dr. Aguirre performed a thorough pelvic examination which revealed bilateral labial hypertrophy with hyperpigmentation as well as redundant lateral prepuce. After discussing all surgical and non-surgical options, patient returned to the office where Dr. Aguirre performed Laser Reduction Labiaplasty of Labia Minora, Clitoral Hood Reduction and PRP (Platelet Rich Plasma) to the surgical sites. She returned to the office for her regularly scheduled postoperative appointments very happy with her results.