No, vaginal rejuvenation treatments at ENRICH are not surgical. We use two different energy-based devices, the ThermiVa and the Juliet, for treatments. The skin remains intact, and there are no injections, no drugs, and no aftercare required. Some vaginal rejuvenation techniques require surgery to repair the damage or structurally augment the vagina or vulva, but we do not perform these at our clinic. These techniques would be more likely to be employed in more serious cases where our techniques would be ineffective.