What is vaginal laxity? The normal vagina is 2.5cm in diameter and about 8cm long, and can hold about two fingers under laxity. There are many muscles and ligaments around the vagina to keep it under certain tension, and many folds in the mucous membrane of the vaginal wall to increase the friction during sex. If the muscles are weakened, the muscles are torn, the ligaments are lax or the mucosal folds are reduced, the friction is weakened during sex and the pleasure is reduced or even disappeared for both men and women, which reduces the quality of life for both partners. This condition mostly occurs after vaginal delivery, after multiple deliveries or when the muscles around the vagina are torn or thinned due to the large fetal head, or when the vaginal lateral incision and suturing procedure fails to fully and completely suture the muscles, resulting in a wide and loose vaginal opening and a decrease in the contraction force of the vaginal mucosa, muscles and other soft tissues, as well as vaginal lacerations, old perineal tears and poor wound healing after lateral perineal incision. Jin Xiaolei, Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences What is vaginal tightening? Vaginal rejuvenation is a less complicated procedure in which the lax or torn muscles are refolded and sutured at the back wall of the vagina to reduce the vaginal diameter and trim the vaginal mucosa as appropriate to achieve a tighter result. Pre- and post-operative precautions No special preparation is needed before surgery. The best time to perform the procedure is after menstruation to 10 days before menstruation. After the operation, keep the perineum clean, take a PP powder bath, and prohibit sexual intercourse for one month.