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Most treatments for the female genitalia, whether surgical or non-surgical, are not aimed at producing a ‘designer vagina’, but at solving a medical or pseudo-medical concern caused by cosmetic abnormalities or ageing.
The procedures now available blur the line between cosmetic and medically indicated procedures, with many now being performed for both purposes, as well as often having a psychological benefit of increasing confidence and self-esteem for the individual. In fact, most of the cosmetic techniques now employed for these treatments have a foundation in treating actual gynaecological concerns. 
Concerns treated include:
 <li>Stress urinary incontinence</li>
 <li>Painful sex</li>
 <li>Desire for increased sexual gratification</li>
 <li>Hypertrophy of labia majora and minora (enlargement in the outer and inner vaginal lips)</li>
 <li>Labial laxity or deflation (requiring tissue tightening and volume improvement)</li>
 <li>Perineal loosening after episiotomy during childbirth or surgery</li>
 <li>Vaginal laxity following childbirth or menopause – Vaginal Relaxation Syndrome</li>
 <li>Vaginal atrophy</li>
 <li>Vaginal dryness (lack of hydration)</li>
 <li>Dysesthetic vulvodynia (burning pain in vulva)</li>
 <li>Lichen sclerosus (patchy areas of pale, thin skin in the vulva, common in menopausal women)</li>

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