40 yo mother of three from Denver, Colorado self-referred to renowned Cosmetic Surgeon and Board Certified, Fellowship-Trained Urogynecologist Dr. Oscar Aguirre of Parker, Colorado to address vaginal looseness. She has a lifelong history of undesired cosmetic appearance of her vulva due to large and dark labia minora. She has also been bothered by a 20-year history of vaginal looseness following her vaginal deliveries. She has been married for many years and both her and her husband noticed decreased sexual pleasure and sexual difficulties. Dr. Aguirre performed a thorough pelvic examination which revealed mild urethral hypermobility and posterior compartment relaxation. Distally there are torn pelvic floor muscles contributing to her laxity and her husband falling out. There is bilateral labial hypertrophy with hyperpigmentation and redundant lateral prepuce with ptosis. Her G-Sot region is non-sensitive. After discussing all surgical and non-surgical options she decided to move forward with in-office procedures as recommended. Dr. Aguirre performed in-office aesthetic vulvar surgery, under local anesthesia, consisting of Laser Reduction Labiaplasty of the Labia Minora and Clitoral Hood Reduction and Clitoropexy with PRP (Platelet Rich Plasma) to Surgical Wounds. She returned to the office for her regularly scheduled postop visits, healing nicely and very happy with her surgical results. She was also found to be an excellent candidate for Vaginoplasty to address her vaginal looseness; however due to the current Covid-19 pandemic she has decided to move forward with nonsurgical vaginal rejuvenation in the form of the LOV treatment which consists of Laser Vaginal Resurfacing FemiLift series, O-Shot and Viveve (Radiofrequency Introital Tightening). She will return for the remaining treatments to finish the series as recommended.