34 yo mother of six from central Colorado with a greater than 13 year history of vaginal looseness, located the office of Board Certified, Fellowship-Trained Urogynecologist and renowned cosmetic surgeon Dr. Oscar Aguirre from an online search. She noticed increased looseness following her third vaginal delivery and then noticed worsening with each subsequent delivery. She also states she has great difficulties achieving orgasm during sex and has only had orgasms following self-pleasure, which is only from clitoral stimulation. Pelvic examination revealed stage I vaginal relaxation consistent with urethral hypermobility. She performs an excellent pelvic floor contraction proximally; however, distally there are torn pelvic floor muscles. Dr. Aguirre discussed all surgical and nonsurgical treatments with her. She was very interested in laser vaginal resurfacing with FemiLift as well as the O-Shot but decided that she would prefer to move forward with out-patient surgery. She was schedule for a Vaginoplasty which Dr. Aguirre performed at the ambulatory surgery center. Patient returned to the office for her regularly scheduled postop appointments very happy with excellent results.