25 yo woman from Parker, Colorado with a 10-year history of undesired cosmetic appearance of her vulva was self-referred to Dr. Oscar Aguirre, a Board Certified, Fellowship-Trained Urogynecologist and Master Cosmetic Surgeon also located in Parker, Colorado. Since puberty she has been bothered by the size of her labia, which is aesthetically unpleasing and creates discomfort with clothing and sex. Pelvic examination performed by Dr. Aguirre with a chaperone present and the patient observing with a handheld mirror revealed bilateral labial hypertrophy with hyperpigmentation. All history and findings were discussed in detail with the patient along with her surgical and nonsurgical options. She planned accordingly and scheduled her procedure when it was convenient for her. Dr. Aguirre performed in an in-office surgical setting, Laser Reduction Labiaplasty of the Labia Minora. She returned to the office for her regularly scheduled postop appointments healing nicely with no issues or concerns and very happy with the results.