Vaginoplasty can encompass various vaginal surgeries, including labia minora reduction, cleft narrowing, hood reduction, labia majora reduction, and vaginal tightening. These surgeries can be performed under local anesthesia or IV sedation; so patients are not put completely under but are in "twighlight" during the procedure, ensuring no recollection or discomfort. The duration is typically one to one and a half hours, depending on the specific procedures being performed. After completion, once you are fully awake, and able to tolerate food, drink, and urinate on your own, you can go home. Be sure you see a board certified cosmetic gynecologist to perform your procedure to ensure you have the best outcome. Best of luck to you!