The use of lasers to treat gynaecological and urogynaecological conditions including genitourinary syndrome of the menopause, stress urinary incontinence, vaginal prolapse, vaginal tightening and other conditions, has become increasingly popular over recent years. Er:YAG 2940 nm laser beam is absorbed into the surface layers of the vaginal skin, increasing temperature. Even when applying topical anesthetic, the heat might be felt during treatment. The energy diffuses deeper into the tissues, affecting the collagen of the soft tissue beneath the skin, leading to vaginal collagen remodeling and synthesis, repairs, and restoring pelvic floor.