@cake @vklittle61 Most doctors won't operate on this area. It's too vascular and too many nerves. They would generally do more harm than good, I believe. Try exercise and change up your nutrition to the suggestions I posted above in this thread where I reviewed Dr. Fors' book (I was very detailed in that post). Also, be aware there are many YouTube videos about strengthening / stretching the pelvic floor (which includes the levator ani muscles and the obturator internus muscles as the pelvic floor main component). Also, things like Pilates Reformer and the TRX core exercises strenghten and get the core and pelvic floor moving (Kegels are just one exercise to strengthen the pelvic floor). Do what you can - these other exercises could help dramatically, too. If those are too strenuous, try some of Thomas Hanna's "Somatics" exercises. These are based on simple movements and stretches with an emphasis on also sensing tension but also sensing when you've regained relaxation. Again, there are all manner of videos on that on YouTube (he also has a book called "somatics" where they show the stretches / exercises). Good Luck.