CO2 lasers have been used for over 20 years to ablate lesions in the vaginal area. Examples include venereal warts and skin tags. They have also been used to treat precancerous vulvar, vaginal, and cervical lesions. We often marveled at the beautiful new tighter skin that grew after a laser treatment. We have used the CO2 lasers since 1986 with excellent success. Now, the CO2 laser is getting more acceptance by other gynecologists as a tool for cosmetic vaginal rejuvenation and resurfacing. Other lasers that have been used in the vaginal region include the Yag lasers of varying wavelengths. New lasers and light sources are also available. The new “Fractional” or Fraxel-type of lasers can regenerate collagen, smoothen skin, and reduce scarring without the downtime. We also have Deep IR (Infrared) heating used to tighten the skin and reduce sagging. Laser Resurfacing is done under local and topical anesthesia in the office. Laser resurfacing takes 15 to 30 minutes to perform.