The CEO of ThermiAesthetics invited me for a face-to-face meeting recently. He went into great detail on the technology, how it evolved, how it's been modified for vaginal use and a demonstration of the equipment in action. Radiofrequency surgical technology (RF) has been around for almost a century. For much of that century, it was and still is used for cutting and heating tissue simultaneously much like an electrosurgical scalpel to produce bloodless incisions. Over a decade ago, RF technology was modified to allow tissues to be heated without cutting. The concept was to shrink loosened tissue. At that time, the only way to deliver the heat was with needles. They were painfully hot and required anesthesia and surgical incisions to reach their targets. More recently, RF technology was further modified to reach target tissues for shrinkage without needles, pain or surgical incisions by slowing down the heating process and using broad flat probes. It was first used on the face and body to tighten wrinkled skin and has recently been modified for vaginal and vulvar use. The slow heating process requires a half-hour session for vaginal therapy. Beyond skin shrinkage, the heat stimulates collagen formation as it does for laser treatments such as FemiLift, MonaLisa Touch, and IntimaLase.