44 yo mother of two from Ft. Collins, Colorado located the center of nationally renowned Urogynecologist and master cosmetic surgeon, Dr. Oscar Aguirre through an internet search for vaginal rejuvenation. She has a five year history of bothersome urinary urgency as well as concerns with the appearance of her labia and decreased sensation with sex. Dr. Aguirre performed a thorough evaluation and discussed both surgical and non-surgical options with her. Due to years of trying medications and a pelvic floor exercise regimen, with no improvement, she was eager to move forward with recommended out-patient surgery. Dr. Aguirre performed cosmetic Labiaplasty of the Labia Minora, Clitoral Hood Reduction with Clitoropexy, Perineoplasty, Vaginoplasty and medically necessary procedures as well.