It has been often said that cosmetic vaginal surgery is the final frontier of cosmetic surgery. Obviously our specialty is ultra conservative, but I think that we must be able to embrace this new direction. After all, why should we permit plastic surgeons to perform labioplasties? This is clearly our domain. We know the anatomy better than anyone. We have dedicated ourselves to the complete healthcare of women. Should we dismiss this very important aspect of their care? Whatever we can do to make a woman feel better about herself is worthwhile in my opinion. After all, we were the pioneers for liposculpturing, and this was in fact taken from us by the more progressive plastic surgery community. To think that all plastic surgeons receive extensive training in botox or liposculpturing during their training (as I have read in other posts) is truly preposterous. I encourage you to think outside the box and not assume that any cosmetic surgery is strictly the domain of plastic surgeons.