Patient had issues with excess labia tissue and wanted to get rid of the incessant chafing, itching, and swelling she suffered. For maximal patient comfort and smooth post-operative care, the alter wedge technique was performed. All sutures were placed internally with no external sutures. Exparel anesthetic injection was injected for post-operative pain control, lasting 72 hours. The patient had no post-operative pain. She was extremely happy with the results, giving Dr. Fernau a 10/10 satisfaction rating.