Surgery to improve the appearance and function of a woman’s vaginal tissues is important for both personal esteem and physiologic function. Childbirth is often traumatic resulting in lacerations and healing process that is not personally satisfying. The use of forceps or vacuum assisted delivery and the increasing weight of babies today result in more prolapses of pelvic organs, more incontinence, and more looseness of vaginal tissues or unappealing appearance of labial tissue. Many who have finished their childbearing years are now concerned about their personal appearance and are looking for ways to deal with this problem. Some feel that they have lost a great deal of sexual sensation due to “looseness” of the vagina.