51 yo female from Miles City, Montana found Board Certified and Fellowship-Trained Urogynecologist and renowned cosmetic surgeon, Dr. Oscar Aguirre, through an internet search for Vaginoplasty. She described the need to see Dr. Aguirre for “vaginal looseness, lack of sensation during sex and some urinary incontinence.” She stated these have been issues for 12 years and 6 years ago when she underwent surgery in Pennsylvania, incontinence was the only issue addressed. A Vaginoplasty was never done at that time. Due to her continued desire to address the vaginal looseness, Dr. Aguirre performed an aggressive Posterior Vaginoplasty with Perineoplasty, at the patient’s request. In order to address the want for added sensation during sex, Dr. Aguirre also performed an O-Shot using the patient’s own PRP (Platelet Rich Plasma) at her 6 week postop appointment, in the office.