Over the last twenty years the practice of cosmetic gynecology has evolved into a sub-speciality. Also known as 'vaginal rejuvenation' or 'intimate wellness' this practice exists to improve the cosmetic appearance and function of the vagina and vulva. Dr. Farnam states that many factors including childbirth, menopause, or genital trauma can result in damage or laxity of the vaginal and vulvar tissue. Texas Urogynecology and Laser Surgery Center offers laser and cosmetic surgical procedures to reverse these changes. Although these procedures are not covered by insurance, many women are making the empowering choice to include intimate wellness in their life.