37 yo mother of two from Firestone, Colorado located the office of Urogynecologist and master cosmetic surgeon, Dr. Oscar Aguirre through an internet search. She has a greater than ten year history of female sexual dysfunction. Since the delivery of her first child she has been bothered by a marked decrease in vaginal and sexual pleasure. She has lost the ability to orgasm and has lost her libido. She has also noticed changes in the aesthetic appearance of her vulva. She states she has always had large labia but following the birth of her children, her labia are becoming longer, darker and more aged appearing. She is also bothered by excess fat in her flanks following an abdominoplasty, years prior. Dr. Aguirre performed a thorough examination, with a chaperone present, where in addition to the above concerns she was noted to have minimal sensation in the G-spot as well as Clitoris. After discussing all surgical and non-surgical options, she preceded with definitive surgical therapy in the form of a Real Mommy Makeover. Dr. Aguirre performed in-office Labiaplasty of the Labia Minora, Clitoral Hood Reduction with Clitoropexy and O-Shot with the injection of PRP (Platelet Rich Plasma). Dr. Aguirre also performed Vaser Liposculpture of the flanks.