Advanced

Treatments

From precision surgical techniques to cutting-edge regenerative therapies — every treatment at IWish is physician-directed, evidence-based, and tailored to your anatomy and goals.

Pillar One

Surgical

Therapies

01

Labiaplasty

Surgical reduction or reshaping of the labia minora or majora — performed using trim, wedge, hybrid, or level-3 techniques depending on anatomy and goals. Eliminates chronic irritation, discomfort, and aesthetic concerns.

Cosmetic · FunctionaL

02

Clitoral Hood Reduction

Reduction of excess prepuce tissue obscuring the clitoral glans — improving both aesthetic appearance and sexual sensation. Often performed concurrently with labiaplasty for optimal proportionality.

Cosmetic · Sensory

03

Clitoral Adhesion Release

Surgical release of clitoral adhesions that develop secondary to Lichen Sclerosis, chronic inflammation, or congenital causes — restoring tissue mobility, comfort, and sensation.

Functional · Restorative

04

Clitoropexy

Elevation and repositioning of the clitoris when displaced by tissue laxity, prior surgery, or anatomical variation — enhancing both comfort and functional sexual response.

Restorative · Functional

05

Vestibulectomy

Surgical removal of hypersensitive vestibular tissue for patients with provoked vestibulodynia who have failed conservative treatments — one of the most effective surgical solutions for chronic entry pain.

Pain Relief · Surgical

06

Perineoplasty

Reconstruction of the perineum — addressing laxity, scarring, or structural damage from childbirth or trauma. Restores both function and aesthetic appearance of the vaginal opening and surrounding tissue.

Restorative · Functional

07

Vaginoplasty

Full-depth vaginal rejuvenation surgery tightening lax muscles and tissues throughout the vaginal canal — not merely the opening. Addresses changes from childbirth, aging, and tissue laxity.

Rejuvenation · Surgical

08

Vulvar Reconstructive Surgery

Complex surgical restoration for vulvar scarring, structural distortion, or functional impairment from Lichen Sclerosis, trauma, congenital conditions, or prior surgical complications.

Complex · Reconstructive

Pillar TWO

Regenerative

Treatments

01

Energy-Based Vaginal Treatments

MonaLisa Touch CO₂ fractional laser and RF energy-based therapies that stimulate collagen production, restore mucosal tissue health, and reverse changes from menopause, childbirth, or hormonal depletion.

02

PRP & PRF Therapy

Platelet-rich plasma and platelet-rich fibrin derived from your own blood — injected into targeted intimate tissue to stimulate regeneration, improve sensation, lubrication, and orgasmic response.

03

Exosome & Tissue Restoration

Advanced cellular therapies using exosomes and biologic agents to promote deep tissue regeneration — at the frontier of non-surgical intimate rejuvenation.

04

Fractionated Laser

Non-ablative laser technology offering gentle yet effective tissue remodeling, improved vaginal wall tone, and symptom relief for GSM — with minimal downtime.

Pillar Three

Medical

Therapies

Hormone Optimization

Comprehensive hormonal evaluation and management for sexual health, including bioidentical hormone therapy, testosterone optimization, and targeted topical compounding for local tissue restoration.

Systemic · Topical

Topical Compound Therapies

Precision-formulated topical preparations targeting vestibulodynia, Lichen Sclerosis, GSM atrophy, and chronic vulvar inflammation — customized by our physician for your specific diagnosis.

Compounding · Prescription

Specialized Medical Management

Targeted treatment protocols for complex conditions including Lichen Planus, PGAD, and chronic arousal or orgasmic dysfunction — combining pharmacologic and non-pharmacologic approaches.

Complex · Individualized

Why IWish

Surgical.

Sophisticated.

Specialized.

Every procedure at IWish is performed by Dr. Bahnmiller — a board-certified physician with advanced subspecialty training in cosmetic gynecology, vulvar reconstructive surgery, and women's sexual health medicine. This is not a medspa offering menu treatments. This is a surgical institute with a singular focus.

Ready to Discuss

Your Treatment Options?

Every treatment plan is built around your anatomy, history, and goals. Start with a comprehensive consultation.

Institute for Women's Intimate Surgery & Health

Expertise in Intimate Wellness & Surgical Precision.

Dr. Daniel Bahnmiller, DO

Women's Intimate Health & Cosmetic

Gynecologic Surgeon

Founder, IWish at CSRH

© 2026 IWish — Institute for Women's Intimate Surgery & Health. All rights reserved.

A Division of Columbia Shores Regenerative Health