The developing trend for the past three years is for "vaginal rejuvenation" to be performed without a scalpel.  New treatments using radiofrequency (ThermiVa, UltraFemme) and lasers (IntimaLase, FemTouch, FemiLift) have been used along with Platelet Rich Plasma (O-Shot).  My personal preference in the non-surgical realm of treatment is to use ThermiVa radiofrequency.  Go to www.thermiva.org and www. thermiva.com for more details.  Much more to come in the days and months ahead.