Vaginoplasty has grown into a group of cosmetic surgeries marketed as "vaginal rejuvenation" and "designer vagina" procedures. Plastic surgeons and gynecologists are marketing their own array of designer vaginoplasty surgeries, claiming the same benefits to women as with other cosmetic surgeries, such as beauty, self-esteem, and confidence. Recently, laser technology has been introduced by some surgeons for "vaginal rejuvenation" and other vaginal surgeries to replace the traditional scalpel. Individual doctors who are members of the American Society of Plastic Surgery (ASPS) offer various "vaginal rejuvenation" procedures, but the ASPS itself does not endorse particular surgeries and cautions that "vaginal rejuvenation" surgery may need further scientific study to determine efficacy and success. None of the cosmetic vaginoplasty surgeries are considered accepted, routine procedures by ACOG.