Good vaginoplasty is to repair the muscles and not only the skin. That is the only determining factor. Muscle repauir. Not lasers and other gimmicks.
The surgery is more involved than just skin, a little more painfull and may resume normal sexual relations in 6-8 weeks.
After care of the surgery is very involved, you need to keep the surgical site clean and bathe with surgical soap at least two to three time daily and apply antibiotic ointment to the suture line.
Fat transfer has been used...