With age and decreasing sex hormone levels, the vaginal mucosa, muscles and ligaments may become lax and patients may visit the plastic and cosmetic surgery department. There are many ways to reduce the size of the vagina and the doctor will take into account the degree of vaginal laxity and the patient’s requirements. If the vaginal laxity is severe, the patient can have surgery to shrink the muscles around the vagina; the patient can have thread sculpture to shrink the muscles; the patient can also use autologous fat filling around the vaginal wall to shrink the cavity; in addition, the patient can use Femili to shrink the mucous membrane to reduce the size of the vagina.