30 yo woman from Wakefield, United Kingdom was self-referred to renowned Cosmetic Surgeon and Board Certified, Fellowship-Trained Urogynecologist Dr. Oscar Aguirre of Denver, Colorado after a Google search. She has a 5 year history of bothersome large labia minora. She first noticed greater than normal sized labia in her teens, but it did not bother her until recently. For some reason, her labia seem to stick out more than before. This results in being self-conscious during intimacy. Dr. Aguirre performed a thorough pelvic examination which revealed labial hypertrophy with hyperpigmentation and a large ptotic prepuce. Dr. Aguirre discussed in detail with the patient, all history and findings along with non-surgical and surgical options with recommendation for in-office, awake, aesthetic vulvar surgery consisting of laser reduction Labiaplasty of the Labia Minora and Clitoral Hood Reduction with Clitoropexy and PRP (Platelet Rich Plasma) to surgical wounds. She had a short window of time and was eager to proceed and scheduled the procedure for Dr. Aguirre’s soonest available date. She returned to the office for her regularly scheduled postop visits, prior to traveling again.