45 yo mother of three from Parker, Colorado was referred to Urogynecologist and cosmetic surgeon, Dr. Oscar Aguirre by Physician Assistant, Katie Young due to a long history of bladder and vaginal concerns. She states she experienced significant tearing of the vaginal area, with each vaginal delivery. She describes her areas of concerns as a gaping vaginal opening, large labia minora and decreased vaginal sensation. Upon examination, Dr. Aguirre found her to have torn pelvic floor muscles, large labia minora as described with excessive clitoral hood skin and anal tags. She proceeded with recommended surgical plan requiring Dr. Aguirre to perform an out-patient (at a surgical center) Vaginoplasty to address her decreased vaginal sensation and gaping appearance, Labiaplasty of the Labia Minora to reduce the size of the Labia, Clitoral Hood Reduction with Clitoropexy to assist with sensation and an Anal Tag Excision. (Her bladder issue was found to not need surgical intervention at this time) She returned to the office postoperatively, with excellent results.