During Laser Vaginal Rejuvenation or cosmetic vaginal tightening procedures, there are several things we do to decrease the pain involved in the surgical process as well as the post-op pain control. The first thing we do is, most patients have general anesthesia but some patients can have what we call Conscious Sedation and during that, we will inject the patient with what we call a regional block or pudendal block. Also we give them local anesthesia we use a type of anesthetic that will help prolong when the patient’s pain will first be forthcoming postoperatively. So generally speaking, the patient will not have any pain during the procedure and post-operatively for at least 6-8 hours, and sometimes up to 18-24 hours immediately after the procedure so they can go home or go to the hotel, etc., so not until in they are in bed, relaxing, can they take the post-op pain medication. We’ve also updated the procedure in that we now use off-label botox injected directly into the vaginal musculature that we are tightening both internally and externally. Because botox is a paralytic agent, it relaxes the muscles in the doses we use it in, and therefore the patient that receives the botox interoperatively will not have to take post-op pain medication and muscle relaxants, usually for more than two to three days. If the patient decides against the botox injections will generally need the post-op pain medication and muscle relaxants for approximately seven to 10 days.