32 yo woman from Oakland, California located the office of Board Certified, Fellowship-Trained Urogynecologist and Master Cosmetic Surgeon Dr. Oscar Aguirre of Parker, Colorado through an on-line Real Self search on Labiaplasty. She has a greater than 20 year history of undesired appearance of her vulva. She states her issues are with her labia minora, irritability, chafing, discomfort with sex and appearance. A virtual consultation was arranged where the photos she had submitted to Dr. Aguirre where reviewed with her. These photos revealed bilateral labial hypertrophy with hyperpigmentation as well as large, redundant prepuce with ptosis. All history and findings were discussed in detail with the patient along with her surgical and nonsurgical options. She decided to move forward with definitive surgical therapy. She arrived in Colorado the day before surgery for a preoperative surgical consultation and confirming examination. Dr. Aguirre then performed, in an in-office surgical setting, Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction, and Clitoropexy with PRP to surgical site. She stayed in town and returned to the office for suture removal on postop day 4 before returning home to California. She then returned to the office three months later for a final postop examination stating “everything is great and much more comfortable. I’m very happy.”