While pregnancy and childbirth can be a beautiful and life-changing experience, the trauma to a woman’s body can be devastating. Cosmetic vaginoplasty also known as vaginal rejuvenation or vaginal tightening is most often performed due to a loose vagina, less friction or a lack of friction during intercourse. Lack of friction during intercourse is most commonly a result of vaginal childbirth, pregnancy, spinal and sacral nerve damage, excessive weight (ie high body/mass index), heavy lifting and chronic increases in abdominal pressure (straining for constipation, chronic coughing, lifting heavy weight all of which damages pelvic nerves and ultimately puts excessive pressure on the pelvic floor fascia (support tissue) and muscles.