Recently, a 60 year old woman decided to undergo vaginal tightening and labia trimming. She felt that she was in great shape, still running marathons. Her skin was tight for her age and she has already had eyelid surgery. However, as she was exercising and running she felt that her pelvic area was not tight. She felt as if her organs will fall out through her lax vaginal canal. Occassionally she also had stress incontinence on lifing weights. In order to have core strenghth the pelvic muscles also have to be strong. She saw us in consultation, Dr. Helen Colen and Dr. Robert Porges. She underwent, a vaginal muscle tightening, bladder neck reinforcement and labia tuck. Her recovery was short but she did have to abstein from sexual activity and from heavy exercise for about six weeks. After that she felt much better. She had more confidence in her looks and in how she felt. She said that her vaginal procedure and labia procedure was invaluable to her and her way of life. She even met a wonderful and successful businessman and who knows, but romance is in the air. She feels young and looks young and is only hoping that her life will last forever.