19 yo female from Fort Morgan, Colorado who has been unhappy with the aesthetic appearance of her vulva for as long as she can remember, was self-referred to Board Certified, Fellowship-Trained Urogynecologist and renowned cosmetic surgeon Dr. Oscar Aguirre through an internet search on Labiaplasty. She is currently single and recalls being extremely uncomfortable during intimacy. She discussed this issue with her mother and prior to dating again, would like to correct her large labia. Examination performed by Dr. Aguirre revealed bilateral labial hypertrophy with hyperpigmentation, redundant lateral prepuce with ptosis and excess perineal skin. These findings, along with all non-surgical and surgical options were discussed in detail with both the patient and her mother. She was found to be an excellent candidate for an in office vulvar surgery consisting of Laser Reduction Labiaplasty of the Labia Minora, Excision of Redundant Prepuce, bilaterally, Clitoropexy with PRP (Platelet Rich Plasma) and Excision of Excess Perineal Skin. She desired to move forward with Dr. Aguirre performing the recommended surgical procedures and scheduled for the next available date. She returned to the office for her routine postop visits very happy with her very natural looking results.