The natural aging process and pregnancies come with certain body changes that influence overall our performance and the vagina is no different. Today more and more patients seek for new ways to enhance their sexual gratification. It is important to listen and examine the patient to look for vagina wall looseness and if a big prolapse is present it is not an ideal case for the procedure. Only tightening the vagina entrance is no enough to really impact female sexual gratification. Treating a loose vagina, loose vagina walls, really impacts sexual gratification on the woman improving their quality of life.