51 yo mother of four from Louisville, Colorado identified the office of Dr. Oscar Aguirre, a nationally renowned Urogynecologist and master cosmetic surgeon in Englewood, Colorado, through an internet search on Uterine Fibroids and Vaginal Rejuvenation. She has a two-year history of symptomatic fibroid uterus and greater than five year history of palpable vaginal prolapse for which she had received multiple medical opinions prior to seeing Dr. Aguirre. She is also bothered by aesthetic vaginal concerns regarding the appearance of her vulva, for which the previous physicians would not address. After thorough examination and consultation offering all surgical and nonsurgical options, she decided to move forward with scheduling surgery at the hospital as an in-patient stay. Dr. Aguirre performed an Abdominal Supracervical Hysterectomy, Abdominal Enterocele Repair, Abdominal Bilateral Paravaginal Defect Repair and Abdominal Uterosacral Ligament Vaginal Vault and Cervical Suspension. Concurrently Dr. Aguirre performed a Laser Reduction Labiaplasty of the Labia Minora , Clitoral Hood Reduction with Clitoropexy and Vaginoplasty, for full Vaginal Rejuvenation. At six week postop appointment Dr. Aguirre performed an O-Shot to help with sexual dysfunction. She returned to the office eighteen months later for a follow-up O-Shot after experiencing satisfactory results with the initial treatment.