This is The Core Lecture on Rim to Hybrid Labiaplasty demonstrating Dr. Alinsod’s technique using radiosurgical tools for extreme precision. A definite must-see discussion on how to find landmarks such as the Frenular Crease and then use that to define the amount of labia to remove. It covers the definition of Rim versus Hybrid versus Barbie Look labiaplasty. Also covered is the local anesthesia technique and pearls on how to use pinpoint RF for excision of labia minora in the “Canal” technique as well as using the fine tips for refining the labial edges and smoothing them over. Precision layered suturing is also demonstrated. This landmark lecture has been used for over a decade to teach Dr. Alinsod’s Fellows around the world. It is now available to surgeons for the first time ever outside of Laguna Beach.