Feminists

Since this type of surgery generally doesn't address the vagina (or is a general tightening up included in the procedure?).

Interesting article and viewpoint on this bizarre phenomenon. I recall, quite clearly, the first time a GYN suggested that she could give me a mirror and help identify all the parts of my genitalia, including placing the speculum so I could see my cervix. I found that an interesting, but not very useful proposal, and declined - figured I'd seen enough of my external genitalia to understand the broad view and didn't particularly want to see my cervix (any more than I wanted to see my liver or colon). To me it was all just there and as long as it was, collectively, healthy I would neither worry about it or obsess with it.

Personally (and unscientifically), I blame a lot of it on the trend for shaving the pubic area - women (and men) are seeing things that in the past were mostly covered, and they don't like what they see.