Vaginoplasty or vaginal rejuvenation (narrowing of the vagina). After childbirth, women may experience sexual difficulties. Despite perineal rehabilitation through floor exercises, vaginal muscles may not regain tone. Patients no longer feel the same pleasure as before, even sometimes may not feel any pleasure at all, which may be the cause of marital problems. Menopausal women may also suffer from vaginal enlargement despite hormonal treatment. Myorrhaphy, misnamed vaginal lift, will tighten the muscles of the perineum and vaginal wall to restore their tone. Women recover their “before” anatomy along with improved sexual confidence, henceforth greater balance of their couple.