39 yo mother of two from Niwot, Colorado has been bothered by the aesthetic appearance of her vulva and looseness after having a vaginal delivery. She was referred to nationally renowned Urogynecologist and master cosmetic surgeon, Dr. Oscar Aguirre by another plastic surgeon in the area, after describing her concerns and aesthetic desires. After an examination and consultation she proceeded with surgery as recommended. Dr. Aguirre performed, in an out-patient surgical center, Labiaplasty of the Labia Minora, Clitoral Hood reduction with Clitoropexy, Vaginoplasty and Anal Tag Removal. She returned to the office for regularly scheduled postop visit with excellent results.