This patient had very wrinkled appearing labia minora but she preferred to preserve her edges. She had a procedure which involved preservation of the upper edge, removal of the remaining labia which created a petite labia using her ow natural edges. She had removal of excess prepuce creating a ‘bridge of the nose’ appearance. Also, a hoodoplasty so that her clitoral glans were able to peek out. She also had vaginal reconstruction repair with a repair of the perineum. All giving her an appearance close to what she had before childbearing.