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A cosmetic surgical procedure that may tighten pelvic floor muscles, trim excess skin or scar tissue, and reshape protruding external genitalia. It is intended for women with vaginal laxity or certain genetic vaginal deformations. The procedure is performed under anesthesia and may take about two hours. Recovery may take up to three months, with no intercourse or tampon use for up to eight weeks and possible limits on physical activity during healing.