Thanks for your question. The type of vaginal tightening would depend on the severity of the vaginal stretching that is present. If there is significant bulgin of the bladder or rectum to or through the opening then a more extensive repair would be needed. If the symptoms are mainly decreased sexual sensation or minor urinary leakage then a more non-invasive treatment such as FemiLift could be done. It simply will tighten the collagen support of the vagina using a laser in 3 separate treatments that will result in a noticable change after the first or second treatment. An exam would be the best way to determine which is needed. Thanks again for your question.