Following delivery of a baby the vagina and surrounding tissue and muscles become stretched. After delivery the vagina may return to a more ‘normal’ size, but it often fails to return to its prepregnancy diameter due to

• More vaginal deliveries which cause the condition to worsen.
• Episiotomy incision which is given in normal deliveries can extend deep and cause this condition.
• Women complain of decreased sensation and sexual satisfaction during intercourse.

The surgery tightens the vagina and surrounding tissue yielding a vaginal tightness similar to before the patient had children.