62 yo female from Denver, Colorado located the office of Board Certified, Fellowship-Trained Urogynecologist and renowned Cosmetic Surgeon Dr. Oscar Aguirre of Denver, Colorado, after seeing an ad in a local magazine. She has been bothered by the appearance of her vulva for the past 2 years as well as lots of difficulties with orgasm and vaginal dryness. She has also experienced some urinary incontinence. After a thorough examination and discussing all surgical and nonsurgical options she was interested in nonsurgical vaginal rejuvenation to improve sexual and orgasm function as well as vaginal dryness and leakage. She therefore committed to the FemiLift series of laser vaginal resurfacing treatments with the O-Shot and Geneveve. She also wanted to move forward with aesthetic vulvar surgery as recommended. Dr. Aguirre performed in an in-office surgical setting, Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction bilaterally, and Clitoropexy with PRP (Platelet Rich Plasma) to Surgical Site, Excision of Excess Perineal Skin and Excision of multiple Anal Skin Tags. She returned to the office for her regularly scheduled postop appointments with great results.