Fellowship in Cosmetic Gynaecology & Sexual Medicine (FCGSM) has become one of the most happening subspecialties of elective surgery for women and includes specialists in gynecology, urogynaecology, urology, and plastic surgery. This area of special focus not only includes cosmetic procedures to enhance the aesthetic appearance of the Volvo-vaginal region, but also the functional vaginal repairs to enhance or help restore sexual function following the changes that may occur following childbirth and/or with ageing.