Prof. Dr. Ostrzenski pioneers surgical treatments for acquiring sensation of the wide vagina. Until recently, surgical techniques were used, such as anterior-posterior vaginal wall repair with or without perineoplasty or tightening vaginal walls surgically or by modern technological devices. “Designer laser vaginoplasty” becomes a very popular marketing tool; although, the term “vaginoplasty” in medicine refers to creating the vagina when this structure is absent. Laser vaginal rejuvenation should not be implemented without repairing site-specific defects. After repairing site-specific defects, a laser can be used to restore the vaginal columnaerugae. Also knows as the vaginal rugae, which are visible transverse ridges on the surface of the vaginal walls. They enhance the feeling of vaginal sensation and plays a role in vaginal elasticity and resilience.