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Vaginoplasty and Perineoplasty

Fort Sanders Women’s Specialists offers treatment options like vaginoplasty to help correct vaginal relaxation after childbirth and aging. Learn more below.

Vaginal Relaxation

The most common reason for relaxation of the vagina is pregnancy and childbirth. Genetics, age, and the size and number of children will also have an effect. For some women there will be minimal symptoms related to relaxation, while others may experience significant symptoms, such as:

  • Diminished sensation during intercourse
  • Urinary incontinence
  • Pelvic pressure
  • Difficulty initiating bowel movements

While healthy living, Kegel exercises, and physical therapy can help, the result of vaginal relaxation includes permanent damage to pelvic support ligaments that cannot be corrected without surgery.

G. Walton Smith, MD has performed elective vaginoplasty since 2006. Dr. Smith received his specialty training from Dr. David Matlock at the renowned Laser Vaginal Rejuvenation Institute of Los Angeles. After completing his certification, Dr. Smith opened the Laser Vaginal Rejuvenation Institute of Tennessee.

Dr. Smith continues to advance the techniques for correction of vaginal relaxation. “We took the principles inherit to the original laser technique and advanced them so we can obtain superior outcomes without having some of the negative effects of the laser,” notes Dr. Smith.

Treatment Options for Vaginal Relaxation


This surgery involves the dissection of the vaginal tissues to expose areas of tissue damage and the subsequent repair of the damaged ligaments with sutures. Vaginoplasty is designed to correct the bulges that occur under the bladder and near the rectum, which results in the vagina being smaller in caliber (tighter). By restoring the natural architecture and physiologic state of the vaginal tissues, women are expected to regain better tone and strength which will lead to improved sensation during intercourse.


This surgery involves reconstructing the perineal body and its underlying muscular support tissues. The perineal body is the area just beneath the entrance to the vagina extending down toward the rectum. This area is most commonly injured from an epestiotomy or tear during delivery. By combining the perineoplasty with the vaginoplasty, we can effectively reduce the diameter of the entrance to the vagina as well as reduce the diameter of the inside of the vagina.

At Fort Sanders Women’s Specialists, you have our resources, our expertise, and our promise of compassionate and complete surgical care. Call us at (865) 331-1122 for more information.