A vaginoplasty and perineoplasty are done under local anesthesia in the office along with a Hybrid Look Labiaplasty and Labia Majoraplasty. The Clitoral Hood Reductionis integrated into the majoraplasty. A detailed description of where to inject fillersfor both SUI and Orgasmic Dysfunction is shown. A two year history completes the video with Before and After photos shown.