Noninvasive vaginal rejuvenation (NVR) is a growing area of interest in dermatology. With age, childbirth, and hormonal changes, many women develop changes in their vaginal tissue that can be functionally and psychologically distressing. Until recently, treatment options were limited to topical application, hormonal treatments, kegel exercises, and surgical options such as labiaplasty, vaginoplasty, and perineoplasty. 1 In the last decade, there has been a rise in minimally invasive devices for vulvovaginal laxity (VVL), atrophic vaginitis (AV), orgasmic dysfunction (OD), and stress urinary incontinence (SUI). These include ablative carbon dioxide (CO2) lasers, nonablative lasers, and radiofrequency (RF) devices. No devices are currently cleared by Food and Drug Administration (FDA) for noninvasive vaginal rejuvenation (NVR), although international agencies have given varying levels of approval.1-3 This review will focus on the radiofrequency modalities used off-label for NVR.