When women have children naturally it can cause vaginal relaxation. When the relaxation becomes severe doctors refer to it as prolapse. Dr. Miklos and Dr. Moore are specialist who perform vaginal tightening operations. Someone might need this surgery if they experience pressure, painful intercourse, their vagina starts to buldge, and sometimes intercourse may no longer be pleasurable. To have vaginal tightening done it is not a medical necessity so insurance companies will not pay for it. However if in your first consultation they see it is medically necessary then usually insurance companies will take on some of the costs. After having vaginal rejuvenation it will effectively enhance the tautness and tighten the vaginal walls.