Laser Vaginal Rejuvenation LVR is a surgery designed to enhance physical intimacy due to physiological changes that have compromised the overall optimum architectural integrity of the vagina. A one-hour outpatient surgical procedure designed to effectively enhance vaginal muscle tone, strength, and control, LVR also decreases the internal and external vaginal diameters as well as builds up and strengthens the perineal body. The outcome is a more pleasurable experience during times of physical intimacy. The LVR laser techniques result in a gentle precision procedure with controlled accuracy.  Known as a relatively bloodless surgery, the pioneered techniques of LVR promote rapid healing and the resumption of daily activities in a short period of time.  At the Laser Vaginal Rejuvenation Center of the Smoky Mountains, our approach to LVR is a bit more inclusive than what you may find at other leading LVR Centers, employing not only LVR but perhaps physical therapy, bioidentical hormone replacement therapy, and counseling.