Am I a Candidate for Vaginoplasty After Childbirth?

Medically Reviewed By

Dana M. Goldberg, MD
Board-Certified Plastic Surgeon

Published: June 8, 2026
Last Updated: July 25, 2026

Patients often come into the office and ask if they need vaginal tightening. I explain that it’s something they tell me, not something I tell them.

If they have urinary leakage or if sex doesn’t feel satisfying anymore then I will do an exam to feel for the edges of the pelvic floor muscle and the strength of the muscles.  Thankfully very few patients have been dissatisfied after vaginal tightening, but after evaluating my own results, I eventually realized the few who were unhappy had poor muscle strength. I can put the muscle edges back together, but I can’t make them stronger. This is why for patients with weak pelvic floor muscles, I will recommend pelvic floor therapy if it is covered by a patient’s insurance. If it isn’t, there are muscle stimulating units for purchase (even on Amazon) to help strengthen muscles to either help patients avoid surgery or ensure that surgery is worthwhile.

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