49 yo mother of two from Sheridan, WY referred by her local OBGYN to the office of Board Certified, Fellowship-Trained Urogynecologist and renowned cosmetic surgeon Dr. Oscar Aguirre, in Englewood, Colorado. She has a three year history of urinary incontinence and a much longer history of recurrent UTI’s. She also presents with a long history of undesired cosmetic appearance of her abdomen and flanks and is interested in aesthetic body contouring. Following a thorough examination, Dr. Aguirre consulted with the patient and discussed all surgical and non-surgical options pertaining to both her UROGYN and Aesthetic concerns. Dr. Aguirre recommended a Real Mommy Makeover to include in-office Vaser Liposculpture of the upper/lower abdomen and flanks followed by Urogyn procedures Mid-urethral Sling, Rectocele Repair and Multiple Anal Tag Excision, a few days later, in an out-patient surgical center under anesthesia. She consented to moving forward with the procedures as recommended and returned to the office for regularly scheduled postop appointments.