According to the American College of Obstetricians and Gynecologists (ACOG), written in 2007 and reaffirmed in 2017 (Committee Opinion #378):  "So-called "vaginal rejuvenation" a procedure "being offered by some practitioners.  These procedures are not medically indicated, and the safety and effectiveness of these procedures have not been documented.  Women should be informed about the lack of data supporting the efficacy of these procedures and their potential complications, including infection, altered sensation, dyspareunia (painful sex), adhesions, and scarring."

Unlike "rejuvenation" procedures that may cause injury and scarring to "tighten" the vagina, the MonaLisa touch procedure revitalizes the tissues, restoring them to their premenopausal status by stimulating restoration of blood supply, connective tissue, and collagen.  As a result, tone and quality are improved without causing injury to the vaginal wall.  MonaLisa Touch has the most extensive data and experience of any available procedure being offered for restoration of vaginal health.