22 yo female from Colorado Springs, Colorado was self-referred to Board Certified, Fellowship-Trained Urogynecologist and renowned cosmetic surgeon Dr. Oscar Aguirre through an internet search on RealSelf, for Labiaplasty. She has a nearly 10 year history of undesired cosmetic appearance of her vulva. Since the age of 13, she has been bothered by the size of her labia primarily due to discomfort arising from physical activity and now she is self-conscious with intimacy. She recently became engaged and is seeking definitive surgical therapy as soon as possible in order to be completely healed prior to her honeymoon. Dr. Aguirre performed a thorough pelvic examination and discussed in detail the surgical and non-surgical options. Her only option being aesthetic vulvar surgery due to the complexity and extreme size of her labial structures. Due to her schedule constraints, she was eager to move forward with scheduling the procedure. Dr. Aguirre performed in an in-office surgical setting, Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction with Clitoropexy and PRP (Platelet Rich Plasma) to surgical site. She followed up in the office for her regularly scheduled postop appointments, very happy and with excellent results.