Labiplasty and vaginoplasty are surgical procedures. They can be targeted around rejuvenating or repairing the vagina, but they aren’t the only ways to achieve a tighter more youthful-looking and functional vagina. There are many new laser and heat-based treatments that provide excellent results without the risks of surgery. The American College of Obstetricians and Gynecologists warns women against what they refer to as \\u201cdesigner vaginoplasty,\\u201d treatments aimed at surgically altering the vagina for purely cosmetic purposes, due to the risks of complication.