21 yo from Wheat Ridge, Colorado, located the office of Board Certified, Fellowship-Trained Urogynecologist and renowned Cosmetic Surgeon Dr. Oscar Aguirre of Denver, Colorado, from an online search for Vaginal Rejuvenation. She has been bothered by the aesthetic appearance of her Vulva for as long as she can remember. She has never been intimate with anybody for this reason. She describes being bothered by the size of her labia and her pubic mons. Dr. Aguirre performed a thorough pelvic examination while patient observed with a handheld mirror. Exam revealed relative labial hypertrophy with hyperpigmentation. Her labia are not excessively large, but aesthetically she is bothered by the darkness and wrinkled appearance of her labia minora. There is also bilateral redundant lateral prepuce. On closer inspection and separation of the labia minora, a vertical hymenal septum identified. Internal vaginal examination was performed which ruled out a vaginal septum as well as a duplicated cervix. After discussing her history and findings as well as all surgical and non-surgical options with the patient, she decided to proceed with definitive surgical therapy. Dr. Aguirre performed an in-office Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction,Clitoropexy with PRP (Platelet Rich Plasma) and Excision of Vertical Hymenal Septum. She returned to the office for her regularly scheduled postop appointments. She was found to have excellent symmetry and relayed that she is very pleased with her results.