ABSTRACT

Vaginal rejuvenation and cosmetic genital vaginal surgery have been performed and popularized increasingly in gynecology, urogynecology, and plastic surgery. However, controversy and debate over the subject remain the most discussed issue in this area, not the in-depth surgical techniques. The line between cosmetic and medically indicated surgical procedures is a gray area, and procedures are performed for both purposes. In the current chapter, we will review the background and history of these procedures, the available data to support them, and the techniques and complications of these procedures. In addition, we will discuss some of the controversies surrounding these topics. Finally, we will also attempt to shed light on what is myth and what is science in this relatively new field of elective genital vaginal surgery for sexual function and cosmesis of the female vagina and vulva.