28 yo woman from Lafayette, Colorado with a six year history if discomfort from her large labia minora located the office of Board Certified, Fellowship-Trained Urogynecologist and Master Cosmetic Surgeon Dr. Oscar Aguirre of Parker, Colorado from an internet search on Labiaplasty. She presented to the office stating she is unable to wear formfitting clothing such as yoga pants, and has difficulty sitting in certain positions. She has also had difficulties with intercourse. Dr. Aguirre performed a thorough pelvic examination which revealed bilateral labial hypertrophy with hyperpigmentation and redundant lateral prepuce bilaterally. After discussing all surgical and nonsurgical options, she wanted to move forward with definitive surgical therapy. Dr. Aguirre performed in an in-office surgical setting, laser reduction Labiaplasty of the Labia Minora and Clitoral Hood Reduction with PRP to surgical wounds. She returned to the office for her regularly scheduled postop appointments very happy with her results and eager to return to exercising and horseback riding.