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A cosmetic surgical procedure performed under anesthesia to improve vaginal muscle control, sexual satisfaction, and appearance. The procedure may tighten pelvic floor muscles, remove excess skin or scar tissue, and trim or reshape protruding external genitalia. It may suit women with vaginal laxity or genetic vaginal deformations. 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.