I generally do not cut away vaginal skin unless it is excessive, otherwise the complication will be that of painful intercourse. Any prolapse problem must be corrected at the same time. This is an attempt in achieving "a tight fit" to improve stimulation of the vulval and vaginal tissues. It is not too far fetch to suggest examining the partner "for fitting", but very often the male may not be willing  . . . . .

Vaginoplasty can be done with or without the use of laser and the principles of surgery are the same. Complications of bleeding and infection are uncommon. Some people scar badly and coupled with over-tightening or cutting away of too much vagina skin, can result in the nightmare of painful intercourse instead of more pleasurable sex. 

Success of Vaginoplasty depends on to whom it concerns - the surgeon, the patient or the partner. The real success is when all 3 are happy. Majority of my patients seeking this surgery are pre-menopausal and a good number are in their 30s. I am heartened that my patients have reported improved sexual satisfaction and relationship after Vaginoplasty.

While Vaginoplasty is not the only way to improve sexual satisfaction and relationship, it is logical and obvious that a proper fit of the penis to the vagina does make sense . . . . . . . . . . .
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