MonaLisa Touch: Are There Any Risks Involved?

Is there any risk involved in this procedure?

Doctor Answers 12

Virtually no risks with this laser

That is one of the great things about this laser, is that there are virtually no risks when done in appropriate patients.   In all the patients I have treated, I have had one who had some discomfort afterwards, and one with mild bloody discharge.  Both resolved.   This correlates with the studies that have been done as well.   

Houston Urogynecologist
4.8 out of 5 stars 6 reviews

MonaLisa Touch Risks

The best part about MonaLisa Touch is there are virtually no risks! The treatment is performed as an in-office treatment with no anesthesia. Mild discomfort, slight redness or swelling or itching can be temporary side effects but should disappear within 1-2 days.


Mona Lisa Risks

The beauty of this procedure is that risks are minimal. Certain conditions such as undiagnosed vaginal bleeding / lesions or prior problematic mesh surgery may be relative contraindications to lasering, but there are no significant risks other than mild vaginal irritation during or within 24 hours post therapy. This irritation is more likely due to vaginal atrophy rather than the laser probe itself.

Andrew Croak, DO
Maumee OB/GYN

The MonaLisa Touch: Low Risk and Life-Changing!

The MonaLisa Touch procedure has been described by some of our patients as “life-changing” and is associated with minimal risks.  All patients are evaluated and are screened before treatment to establish their diagnosis, customize their treatment regimen, and to evaluate their suitability for the procedure.  Because the procedure stimulates the body’s own natural healing response, it lacks the risks and side effects associated with traditional medical therapy.  There may by mild tenderness at the entry of the vagina in patients with vaginal atrophy.  The laser itself is painless and may feel like a slight vibration.  Some patients describe minor temporary inflammatory symptoms after their procedure (redness, swelling, itching) and occasionally discharge.  We offer TaC Vaginal Restorative GF Complex serum to help soothe vaginal irritation and to hydrate the vaginal mucosal lining after treatment. 


Lewis Wyatt Jr., MD
Beverly Hills OB-GYN

Very minimal risk!

One of the best things about the Mona Lisa Touch laser is that there are very few risks to the treatment.  If your doctor screens you properly and makes sure that you are a good candidate there should really be no risk, and the published literature supports this.  This is because the laser penetration into the vaginal tissues is very small (basically as deep as the tip of a ball point pen), so it does not reach deeper structures and cause harm.

Mona Lisa Touch is especially helpful for women who are not good candidates for vaginal hormones, either because they have not had a good experience with them, or they have a medical condition that makes them a poor candidate (some breast cancers and other cancers, people with clotting risks). There is no reason that these patients can not use the Mona Lisa Touch.

Occasionally there can be some temporary irritation immediately after the procedure, especially if the introits, or entry, to the vagina is tight, but this should improve over time with repeat treatments.

Rebecca Dunsmoor-Su, MD
Seattle OB/GYN
5.0 out of 5 stars 4 reviews

MonaLisa Risks

The MonaLisa is a short 5 minute procedure with minimal discomfort. It is important to ensure there are no vaginal infections or abnormal growth in the vaginal canal/ cervix prior to any treatment. Patients may experience a few days of vaginal spotting and external itching. It is best to use an ice pack intermittently for the first day if there is any discomfort. ThermiVa has no associated pain or need for ansethesia, however it takes 40 minutes. The patients help decide which option they prefer depending on there symptoms and anatomy.

A minimal risk procedure

Currently 20,000 women to date have been treated by the Mona Lisa Touch with no reported adverse effects. Though rare, vaginal irritation and spotting are the most common side effects that occurs with the initial treatment, and only last for a few days.  This is due to the baseline, atrophic state of the vagina and typically does not occur with each subsequent treatment.  A simple history and vaginal exam is performed by your physician to assure you are an appropriate candidate without any contraindications. Warm Regards, Jennifer Murphy, MD

L. Jennifer Murphy, MD
Valparaiso OB/GYN
5.0 out of 5 stars 5 reviews

Any risks involved in MonaLisa Touch?

Some women may feel more irritated for a few days after the procedure.  There are no long term risks reported.  The treatment is FDA approved for the Genital Urinary Symptoms of Menopause.  Most women choose this therapy for symptoms of vaginal dryness and pain with intercourse related to dryness.  We don't have long term data on the resolution of prolapse or incontinence symptoms yet.  We are starting to use this laser for women with lichen sclerosis as well.  Early experience is promising for this disorder as well.

Karny Jacoby, MD
Seattle Urologist
5.0 out of 5 stars 5 reviews

Monalisa touch

Monalisa touch laser treatment helps restore  Vaginal health due to new collagen elastine and vasculirisation. It can be used for postmenoposal Vaginal dryness , vaginal rejuvenation, mild form of stress urinary incontinence , vaginal tightening, chronic vaginal itching, painful urination and painfull intercourse. Most of these affects can be even seen after the first treatment and its recommended just 3 treatment and each takes less then 5 minutes. 
So far no reported side affects or reaction. 
The only thing is like in the other laser treatments in some patients who has history of genital herpes may have flairs after the treatment. 
MonaLisa touch is also a breakthrough approach for patients who had breast canser and suffering from vaginally atropy and drynes. 
Thank you 
Dr Kafali

Sue Onispir-Kafali, MD
Chicago OB/GYN
5.0 out of 5 stars 1 review

Laser Vaginal Tightening: Any Risks?

FemiLift and MLT laser treatments of the vagina utilize low energy settings that do not cause the typical problems of carbon dioxide lasers used on the face (burns, hyperpigmentation, blisters, etc) since the skin of the vaginal canal lacks melanin. There should be no risk if your surgeon has experience with lasers and with the recommended protocols. There are concerns that these procedures might cause a flareup of herpes if the patient has a history of previous infection and in such case antiviral therapy is recommended prior to the procedure. CO2 lasers, erbium lasers, radiofrequency devices (RF), and traditional scalpels have all been associated with herpes flares in vaginal surgery so this is a real, yet uncommon concern. There are no known long-term consequences of laser vaginal tightening on the vagina and treatment effects are temporary.

Marco A. Pelosi III, MD
Jersey City OB/GYN
4.6 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.