Vaginoplasty doctors aim to remove excess vaginal skin to narrow the diameter of the vagina resulting in a smaller and tighter introitus (opening) and vaginal vault. This is usually done under general or spinal anesthesia or under local anesthetic with some sedation. We use the Ellman Surgitron Radiofrequency device to make exceptionally precise and minimally traumatic incisions. This method is dramatically less destructive than the use of Yag and 980 diode lasers. It takes about 60- 90 minutes to perform.