39 yo mother of two from Highlands Ranch, CO with a greater than 7 year history of undesired cosmetic appearance of her vulva, located the office of Board Certified, Fellowship-Trained Urogynecologist and renowned Cosmetic Surgeon Dr. Oscar Aguirre of Denver, Colorado, from an online search for Labiaplasty. She has always felt that her labia have been long but since her first vaginal delivery, she has noticed lengthening and darkening of her labia making them more displeasurable. She is bothered by some labial dragging, pulling and discomfort during sexual activity. She is interested in cosmetic vulvar surgery. Dr. Aguirre performed a thorough pelvic examination which revealed bilateral labial hypertrophy with hyperpigmentation and redundant lateral prepuce with ptosis. Dr. Aguirre recommended an in-office aesthetic vulvar surgery consisting of laser reduction Labiaplasty of the Labia Minora with Clitoral Hood Reduction with Clitoropexy. She was eager to move forward and scheduled all recommended procedures for the next available surgery time. She returned to the office for her regularly scheduled postop appointments, very happy with her results.