42 yo mother of two from Centennial, Colorado located nationally renowned Urogynecologist and master cosmetic surgeon, Dr. Oscar Aguirre through a Google search for vaginal rejuvenation. She has a twenty year history of undesired cosmetic appearance of her vulva. Since the age of 21 she has been bothered by the size and shape of her labia minora and over the years has also developed a decrease in vaginal sensation with intercourse. During a thorough consultation, following an exam, all surgical and nonsurgical options were discussed. In order to eliminate the need for multiple recovery periods, Dr. Aguirre recommended an out-patient surgery to be performed in a hospital like setting, to address all issues at one time. With her consent, Dr. Aguirre performed a Vaginoplasty to address the issue of looseness and to address the aesthetic concerns, a Labiaplasty of the Labia Minora, Clitoral Hood Reduction with Clitoropexy, and Excision of Skin Tags was also performed. She returned to the office with great results.