40 yo mother of two from Castle Rock, Colorado searched the internet for Labiaplasty and found Urogynecologist and internationally renowned cosmetic surgeon, Dr. Oscar Aguirre of Englewood, Colorado. She has a long history of undesired cosmetic appearance of her vulva. Dr. Aguirre performed a thorough pelvic examination which revealed bilateral hypertrophy with hyperpigmentation. There is also redundant lateral prepuce with ptosis, excess perineal skin and anal skin tags. After discussing all surgical and non-surgical options with her family, she decided to proceed with definitive surgical therapy performed as an in-office vulvar procedure. Dr. Aguirre performed Laser Reduction Labiaplasty of Labia Minora, Clitoral Hood Reduction, Clitoropexy w/PRP (Platelet Rich Plasma), Excision of Excess Perineal Skin and Excision of Anal Skin Tags. She returned to the office for her regularly scheduled postoperative appointments with excellent healing and very happy with her results.