Cosmetic Gynecology has become one of the fastest growing subspecialties of elective surgery for women and includes specialists in gynecology, urogynecology, urology, and plastic surgery. This area of special interest includes both cosmetic procedures to enhance the aesthetic appearance of the vulvo/vaginal region, as well as functional vaginal repairs to enhance or help restore sexual function following the changes that may occur following childbirth and/or aging. Female genital cosmetic surgery also includes aesthetic procedures to improve the cosmetic appearance of the external vulvar/vaginal region. Procedures include labiaplasty or labia minora reduction with or without excess prepuce reduction, labia majora reduction or augmentation, vaginal introital repairs for cosmetic issues as well as reduction of lipodystrophy in the mons pubis region. Recently, new technology has been introduced in the field offering non-surgical/office based procedures to treat female sexual dysfunction (VLS), vaginal health and vulvo/vaginal cosmetic issues for women. This technology includes non-fractional lasers as well as radiofrequency treatments. Scientific studies are currently evaluating this technology for these uses as well as treatment for mild urinary incontinence, urgency/frequency issues as well as vaginal dryness.