47 yo mother of three from Highlands Ranch, Colorado located national renowned Urogynecologist and master cosmetic surgeon, Dr. Oscar Aguirre through an internet search. She has a long history of being unhappy with the aesthetic appearance of her vulva and after three vaginal deliveries, the last of which she describes as being “very difficult,” she has been bothered by vaginal looseness. After a thorough exam and discussing all surgical and non-surgical options, she proceeded with surgery which she felt to be her best option. Dr. Aguirre performed in an out-patient hospital setting, a Vaginoplasty followed a few days later by an in-office Labiaplasty of the Labia Minora and Clitoral Hood Reduction. She returned to the office for regular scheduled postop visits, pleased with her results.