The Institute for Women's Intimate Surgery & Heath AT CSRH

I Wish I Felt

Like Myself Again

Now You Can

Physician-Led  ·  Surgical Precision  ·  Discreet  ·  Personalized

The Institute

The Region's Only

Dedicated Center

for Intimate Health

The Tri-Cities' premier referral center for advanced women's intimate health, sexual wellness, and cosmetic and restorative gynecologic surgery. We combine surgical precision with a deeply personalized approach — giving women the answers they've been searching for, often for years.

At CSRH, we believe every woman deserves to feel confident, comfortable, and fully herself. Whether you're seeking surgical correction, non-invasive rejuvenation, or expert hormonal guidance, this is where your journey begins.

Dr. Daniel Bahnmiller, DO, FACOOG, IF

Women's Intimate Health & Cosmetic Gynecologic Surgeon

Founder, IWish — CSRH

Our Philosophy

I Wish — The Words

We Were Built Around

"I wish intimacy didn't hurt…"

Sexual Health & Function

Vestibulodynia, GSM, Lichen Sclerosis, low libido, orgasmic dysfunction — treated medically, surgically, and holistically.

"I wish I felt confident in my body…"

Cosmetic Gynecologic Surgery

Labiaplasty, clitoroplasty, labia majora surgery, perineoplasty, vaginoplasty — precision aesthetic surgery by a board-certified surgeon.

"I wish I felt like myself again…"

Restorative Surgery

Scar revision, vulvar restoration, and functional repair for post-birth, atrophy, or trauma — because your body deserves to heal completely.

The Institute

Four Pillars of

Care & Expertise

Sexual Health &

Function

Comprehensive care for:

  • Painful intercourse

  • Decrease (libido) sexual desire

  • Orgasmic dysfunction

  • Hormonal sexual medicine

  • Arousal disorders

  • Sexual disorders arising from menopause

  • Lichen Sclerosis

Cosmetic Gynecologic

Surgery

  • Labiaplasty (Labia Minora)

    • Labiaplasty

    • Hybrid Labiaplasty (involves treatment of labia minora, ± clitoris, ± perineum)

  • Labia Majora

    • Reduction (surgical)

    • Liposuction

    • Augmentation

  • Clitoral Surgery

    • PRP (Sweet Spot Shot)

  • Vagina and Perineum

    • Perineoplasty

    • Vaginoplasty

  • Mons

    • Mons Reduction/Liposuction

    • Cesarean “apron” reduction

Restorative & Functional

Surgery

Comprehensive care for post-birth changes, trauma, prior surgery, and dermatologic conditions affecting the vulvar and perineal region. We offer surgical, laser, and regenerative options including PRP to restore both function and aesthetic balance.

Treatment Areas Include:

  • Lichen Sclerosis

    • Specialized therapies for chronic vulvar skin conditions

    • Uncovering the “hidden” clitoris to restore sensation and appearance

  • Trauma and Prior Surgery

    • Revision and refinement procedures focused on restoring both function and aesthetic balance

  • Cesarean Section “Apron”

    • Advanced surgical and liposuction techniques to refine lower abdominal contour and improve scar appearance following cesarean delivery—restoring a smoother, more balanced profile

  • Clitoral Scarring or Enlargement

    • Expert care for complex clitoral conditions, including enlargement and scarring associated with hormonal influences and vulvar dermatologic conditions such as lichen sclerosus

Non-Surgical

Rejuvenation

MonaLisa Touch, PRP, exosomes, and energy-based therapies — delivering powerful outcomes with no downtime.

Now Offering:

  • Clitoral Botox

  • MonaLisa Touch

    Urgency, incontinence, loss of sensation, improved orgasm

  • PRP (Platelet-Rich Plasma)

    Clitoral rejuvenation, enhanced sensation, improved orgasm

  • BBL (Broad Band Laser)

    Skin tightening, labia majora “bleaching”

  • Cynosure Elite IQ

    Skin tightening, labia majora “bleaching”

  • Fillers

    Labia majora volume restoration

  • Pelvic Floor Botox

    Treatment of decreased/loss of clitoral sensation/orgasm; relief from painful intercourse due to vaginismus

1

Dedicated Intimate Health Institute in SE Washington

4

Specialized Surgical & Wellness Pillars

20+

Distinct Procedures Offered

The Institute

Surgical &

Non-Surgical

Excellence

  • Vestibulectomy →
  • Labiaplasty (Trim, Hybrid, Level 3) →
  • Clitoroplasty & Clitoropexy →
  • Perineoplasty & Vaginoplasty →
  • Hormonal Sexual Medicine →
  • MonaLisa Touch Laser Therapy →
  • PRP / PRF Regenerative Therapy →
  • Lichen Sclerosis — Medical & Surgical →

Patient Voices

The Words That

Matter Most

5.0

After years of painful intimacy, I finally found a physician who actually listened. The care here was unlike anything I'd experienced — discreet, compassionate, and transformative.

— Patient, Richland WA

5.0

I'd been told by multiple doctors that nothing could be done. Dr. Bahnmiller not only had answers — he had solutions. I feel completely like myself again for the first time in years.

— Patient, Kennewick WA

5.0

The level of expertise and professionalism here is extraordinary. This isn't a medspa — it's a true surgical institute with genuine medical authority. I traveled from out of state and it was worth every mile.

— Patient, Boise ID

For Referring Physicians

Your

Specialty Destination

for Complex Cases

A surgical and specialty referral center dedicated exclusively to complex women's intimate health, sexual function, and cosmetic or restorative gynecologic procedures. We make you look thorough — not competitive.

OB/GYN Family Practice Urology Pelvic PT Oncology

Non-Surgical

Rejuvenation Without

Going Under

MonaLisa Touch

Fractional CO₂ & RF Energy

PRP

Regenerative Therapy

Exosomes & Energy

Advanced Cellular Regeneration

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