Choosing the Best Vaginal Rejuvenation Surgeon: 12 Questions Every Woman Should Ask Before Surgery

Why Your Choice of Surgeon Matters More Than the Procedure Itself

If you’re considering vaginal rejuvenation, you’ve probably spent hours researching procedures like vaginoplasty, perineoplasty, and other treatments designed to restore vaginal support after childbirth or aging.

During your search, you’ve likely found hundreds of websites promising excellent results.

The problem is that many of these websites focus almost entirely on the procedure while giving very little attention to the surgeon performing it.

That may be the most important decision of all.

Vaginal rejuvenation is not simply cosmetic surgery. It requires a detailed understanding of the female pelvic floor, childbirth injuries, pelvic organ support, vaginal anatomy, and pelvic floor function. Every woman’s anatomy is unique, and the procedure that produces an excellent outcome for one patient may not be appropriate for another.

Choosing an experienced surgeon who performs a comprehensive evaluation before recommending treatment can have a significant impact on your diagnosis, surgical plan, recovery, and long-term outcome.

At Miklos & Moore, every consultation begins with understanding your symptoms, your goals, and your anatomy—not with recommending surgery. Dr. John Miklos and Dr. Robert Moore are fellowship-trained urogynecologists specializing in Female Pelvic Medicine and Reconstructive Surgery (FPMRS). Their practice is dedicated exclusively to the diagnosis and treatment of pelvic floor disorders, childbirth-related injuries, vaginal reconstruction, pelvic organ prolapse, and cosmetic gynecology.

The purpose of this guide is not to tell you who to choose.

Instead, it is to help you understand how to choose.

The more informed you are before surgery, the more confident you’ll be in making one of the most important healthcare decisions of your life.

Question 1: Is the Surgeon Fellowship-Trained in Female Pelvic Medicine and Reconstructive Surgery (FPMRS)?

One of the first questions every woman should ask is:

“What specialized training has my surgeon completed?”

Not all surgeons who perform vaginal rejuvenation have the same educational background or surgical experience.

Some may primarily practice cosmetic surgery.

Others may focus on general gynecology.

Some perform only a limited number of vaginal reconstructive procedures each year.

Female Pelvic Medicine and Reconstructive Surgery (FPMRS) is a highly specialized field devoted to diagnosing and treating disorders of the female pelvic floor, including:

• Vaginal laxity
• Pelvic organ prolapse
• Childbirth injuries
• Urinary incontinence
• Perineal body injuries
• Pelvic floor dysfunction
• Vaginal reconstruction

Fellowship training provides advanced education beyond residency, focusing specifically on these complex conditions and the reconstructive techniques used to treat them.

When discussing surgery, ask your physician about their specialized training, experience with pelvic floor disorders, and the types of procedures they perform most frequently.

Question 2: Does the Surgeon Perform a Comprehensive Pelvic Floor Evaluation?

Many women schedule a consultation believing they already know which procedure they need.

In reality, symptoms such as vaginal looseness, a widened vaginal opening, pelvic pressure, discomfort during intercourse, or urinary leakage may all have different underlying causes.

A thorough evaluation should include assessment of:

• The vaginal canal
• The vaginal opening
• The perineal body
• Pelvic floor muscle strength
• Pelvic organ support
• Childbirth-related injuries
• Scar tissue
• Bladder support
• Rectal support

Without a comprehensive examination, it is impossible to know whether vaginoplasty, perineoplasty, pelvic floor therapy, prolapse repair, or another treatment is most appropriate.

A personalized diagnosis is the foundation of successful treatment.

Question 3: Does the Surgeon Treat More Than One Condition?

This is one of the most overlooked questions patients can ask.

Imagine two women with nearly identical symptoms.

Both describe:

• Reduced sensation during intercourse.
• A feeling of vaginal looseness.
• Changes following childbirth.

One woman has vaginal laxity.

The other has pelvic organ prolapse with significant injury to the perineal body.

Although their symptoms sound similar, their treatment plans may be completely different.

Choosing a surgeon who evaluates and treats a broad range of pelvic floor conditions helps ensure that the recommendation is based on your anatomy—not simply on the procedure that surgeon performs most often.

Question 4: Will My Treatment Plan Be Customized?

No two childbirth experiences are identical.

No two pelvic floors are identical.

No two women have identical goals.

Your treatment plan should reflect that.

An individualized consultation considers:

• Your symptoms.
• Your medical history.
• Previous childbirth injuries.
• Prior pelvic surgery.
• Pelvic floor support.
• Future pregnancy plans.
• Your personal goals.

The best treatment is the one that addresses your specific concerns—not a standard operation recommended for every patient.

Why This Matters

Women often spend weeks comparing procedures when they should first be comparing surgeons.

An experienced surgeon recognizes when symptoms are caused by vaginal laxity, when they are caused by prolapse, when both conditions are present, and when surgery may not be necessary at all.

That ability to accurately diagnose the underlying problem is one of the most important factors influencing a successful outcome.

The procedure is important.

But choosing the right surgeon to perform it is even more important.

Question 5: How Much Experience Does the Surgeon Have Performing These Procedures?

Experience matters in every surgical specialty, and vaginal rejuvenation is no exception.

Perineoplasty and vaginoplasty require a detailed understanding of female pelvic anatomy, pelvic floor function, and the changes that occur after pregnancy and childbirth. Even women with similar symptoms may require very different surgical approaches.

When meeting with a surgeon, consider asking:

• How many perineoplasty procedures do you perform each year?
• How many vaginoplasty procedures do you perform each year?
• Do you routinely perform pelvic reconstructive surgery?
• How often do you treat women with childbirth-related pelvic floor injuries?
• How long have you been performing these procedures?

While every surgeon begins somewhere, experience often plays an important role in surgical judgment, recognizing anatomical differences, and managing complex cases.

Question 6: Does the Surgeon Perform Revision Surgery?

One question many women never think to ask is:

“What happens if another surgery didn’t provide the results I expected?”

Revision surgery is often significantly more challenging than primary surgery because scar tissue, altered anatomy, and previous repairs can make reconstruction much more complex.

Surgeons who routinely evaluate and treat revision cases often develop a deeper understanding of pelvic anatomy and the wide range of ways childbirth and previous surgery can affect the pelvic floor.

Even if you have never had prior surgery, choosing a surgeon who is experienced in managing complex cases may provide additional confidence that unexpected findings can be appropriately addressed.

Question 7: Does the Surgeon Treat Pelvic Organ Prolapse?

This question is especially important because many women who believe they have vaginal laxity actually have pelvic organ prolapse, injury to the perineal body, or several conditions occurring together.

Imagine undergoing vaginal tightening surgery only to discover later that your primary problem was bladder prolapse.

Unfortunately, this can happen when the evaluation focuses only on one symptom rather than the entire pelvic floor.

Choosing a surgeon who routinely diagnoses and treats:

• Bladder prolapse (cystocele)
• Rectocele
• Uterine prolapse
• Vaginal vault prolapse
• Childbirth-related pelvic floor injuries

helps ensure that all contributing conditions are identified before surgery is recommended.

Question 8: Can I See Before-and-After Photos?

Before-and-after photographs can help patients understand the types of results that may be achievable.

While every woman’s anatomy and outcome are unique, reviewing examples of previous patients can help set realistic expectations and provide an opportunity to discuss your goals during the consultation.

As you review photographs, remember that surgical success involves much more than appearance.

Questions worth discussing include:

• Was pelvic support restored?
• Were functional concerns addressed?
• Was the patient’s treatment individualized?
• Were multiple procedures performed together?

Your surgeon should explain why a particular treatment was selected and how it addressed that patient’s unique anatomy.

Question 9: How Are Complications Managed?

Every surgical procedure carries risks.

A trustworthy surgeon will discuss:

• Expected recovery
• Potential complications
• Ways those risks are minimized
• What happens if concerns arise during recovery

Patients should feel comfortable asking questions and should receive clear, honest answers that help them make informed decisions.

Good communication before surgery often leads to greater confidence throughout the recovery process.

Why Women Choose Dr. John Miklos & Dr. Robert Moore

When women begin researching vaginal rejuvenation, they often focus on finding the “best procedure.”

At Miklos & Moore, the focus is different.

The goal is to determine the right diagnosis first, because the best procedure depends entirely on the underlying cause of your symptoms.

Dr. John Miklos and Dr. Robert Moore have devoted their careers exclusively to Female Pelvic Medicine and Reconstructive Surgery (FPMRS). Their practice combines advanced pelvic reconstructive surgery with cosmetic gynecology, allowing them to evaluate both the function and appearance of the pelvic floor during every consultation.

Their experience includes:

• Vaginal laxity
• Perineoplasty
• Vaginoplasty
• Pelvic organ prolapse
• Childbirth-related pelvic floor injuries
• Complex pelvic floor reconstruction
• Cosmetic vaginal surgery
• Revision surgery following previous procedures

Rather than recommending the same treatment for every patient, they perform a comprehensive evaluation to determine exactly which structures have been affected and develop an individualized treatment plan tailored to each woman’s anatomy, symptoms, lifestyle, and goals.

Women travel from Atlanta, throughout Georgia, across the United States, and internationally because they are seeking experienced surgeons who understand the complexity of the female pelvic floor and are committed to delivering thoughtful, personalized care.

Experience Is About More Than Years in Practice

Experience is not measured simply by the number of years a surgeon has practiced.

It is reflected in the ability to recognize subtle anatomical differences, diagnose complex pelvic floor conditions, develop individualized treatment plans, and perform procedures designed to restore both function and appearance.

For women considering vaginal rejuvenation, selecting a surgeon with specialized training and extensive experience in Female Pelvic Medicine and Reconstructive Surgery provides reassurance that their concerns will be evaluated comprehensively rather than viewed through a purely cosmetic lens.

That difference in perspective can have a meaningful impact on both the surgical plan and the long-term outcome.