22 yo mother of one from Denver, Colorado was self-referred to Board Certified, Fellowship-Trained Urogynecologist and renowned cosmetic surgeon Dr. Oscar Aguirre through an internet search. She describes a traumatic vaginal delivery resulting in significant perineal trauma requiring several stitches. Following this delivery, she has noticed marked disfigurement of her perineum as well as discomfort with initial penetration. Dr. Aguirre performed a thorough pelvic exam which revealed evidence of prior obstetrical trauma to her perineum. There is a bunching up of skin and the deeper tissues have a palpable nodule which is tender. There is left labial hypertrophy. After discussing in detail these findings along with all surgical and non-surgical options she would like to proceed with definitive surgical therapy to address the pain that she has with sex due to her significant perineal trauma and aesthetic appearance of her vulva. Dr. Aguirre performed a Perineoplasty and Labiaplasty of left Labia Minora at an out-patient surgery center. She returned to the office for her regularly scheduled postop appointments, very pleased with her results.