It depends on your situation. As a certified ThermiVA trainer in the Atlanta area, I have trained many doctors on how to safely use ThermiVA and we have the most experience with ThermiVA in Atlanta, Georgia. ThermiVA is safe. It is a non-surgical temperature controlled vaginal tightening device using radiofrequency (RF) energy. ThermiVA is performed in the office using only local anesthesia. There is no need for sedation or general anesthesia, but available if requested. ThermiVA uses the same technology as ThermTight and ThermiSmooth, which has been used for years in other areas to reduce the effects of aging such as the face, neck, arms, and abdomen. We know it works!For those looking for vaginal tightening procedures, its better to be evaluated by a board certified plastic surgeon and offered the correct treatment for the problem. ThermiVA is one of the tools we offer. I agree, "if all you have is a hammer..... everything looks like a nail" Do your homework to make sure your plastic surgeon offers other options for your problem and is experienced with RF technology and surgical solution. We offer both and give our patients an honest opinion. Themiva is a wonderful procedure for vaginal tightening for vaginal laxity, stress urinary urgency, orgasmic dysfunction, labial reduction. ThermiVA is the latest technology for vaginal rejuvenation without surgery, or downtime. The excellent results from Thermiva has been supported by studies, patient testimonial, and numerous reviews. In our certified center, those that are not candidates for ThermiVa are offered other options such as labialplasty or vaginoplasty during the confidential consultation.However, your best plastic surgeon has the experience, training, and results that relates to you. Do your research and find a real Plastic Surgeon and book a paid consultation. Free consults are just a sales pitch and does not work in your best interest. People always say “you get what you pay for”. This is very true in Plastic Surgery. Below are other criteria to use when selecting a Plastic surgeon. Questions to ask your potential plastic surgeon (Answering NO is a big red flag) 1) Are you a plastic surgeon? (You should research the differences between cosmetic surgeon & plastic surgeon. Make sure that your plastic surgeon is a trained surgeon! You may be surprised) 2) Are you board certified in Plastic Surgery? (Board certified in what? You are looking for the American Board of Plastic Surgery. There are many boards and some are fake. Make sure that the certifying board is a member board of the American Board of Medical Specialties or the American Osteopathic Association.) 3) Will the procedure be performed at a fully accredited & certified procedure room or ambulatory surgery center, or hospital 4) Do you have hospital privilege to perform the same procedure you do in the office? Which Hospital? 5) Do you offer complication insurance. How do you handle complications and revision (it does happen, it better to be safe) The most important decision is to do your homework well. Good luck.