The most frequent gynecological problems in women are include vaginal laxity and sexual dysfunction, stress urinary incontinence (SUI), pelvic organ prolapse, genitourinary syndrome of menopause (GSM) or vulvovaginal atrophy. Their occurrence are often associated with damage to the connective tissue structures due of pregnancy and childbirth, surgical aids in childbirth, perineal tears, increased intra-abdominal pressure, undifferentiated connective tissue dysplasia and age involution changes. The understanding the molecular mechanisms and pathophysiology of involutive processes in the urogenital tract in women makes it possible purposefully to influence the structure of connective tissue by stimulating the synthesis of extracellular matrix components and providing a structural remodeling of tissues. Particularly noteworthy the modern minimally invasive laser techniques, which offer more possibilities in solving gynaecological problems. And also combining laser techniques with other methods of aesthetic gynecology.