31 yo mother of three from Denver, Colorado with a 10-year history of decreased vaginal sensation, located the office of Board Certified, Fellowship-Trained Urogynecologist and renowned Cosmetic Surgeon Dr. Oscar Aguirre of Denver, Colorado, from a RealSelf search on vaginal looseness she first noticed shortly after her first vaginal delivery at age 21. She has since noticed a progression and now her husband falls out during sex. This has been a discussion between her and her husband for a couple years and she has now decided to move forward with Vaginoplasty. Dr. Aguirre performed a thorough pelvic examination which revealed stage II anterior and posterior vaginal relaxation with excellent cervical and uterine support. She has an enlarged genital hiatus with decreased perineal body. Dr. Aguirre counseled patient on all surgical and non-surgical options. She is determined to proceed with the Vaginoplasty. Dr. Aguirre performed in an out-patient surgery center under general anesthesia, Vaginoplasty with Perineoplasty. She returned to the office for her regularly scheduled postop appointments with excellent support and stating that “sex is much improved”.