As to the issue of "boutique", it's not the procedure that's boutique. One practice was cited as a "boutique" practice; they did not accept insurance.
If there are medical reasons for the procedure (many times there are, as in a woman whose vaginal structure has been weakened during bearing many children) insurance will cover part or all of the conventional procedures already available; as mentioned in the article, some insurance plans will cover some of this new procedure as well. Like any laser procedure, it's expensive; unlike other laser procedures, this one is cloaked in secrecy, and that bothers me; it also was an issue for doctors mentioned in the article.
The relevant paragraphs to me were these:
"It's totally a gimmick," said Dr. Mark Walters, head of urogynecology at the Cleveland Clinic. "All they've done is repackaged existing gynecological operations that have been in practice for over a hundred years, given them new names and charged their patients more money for them."
-snip-
Some doctors criticize the secrecy. If the procedure makes such a difference in women's sex lives, they ask, why not share the surgical techniques with everyone?
Miklos has a concise answer: "We're running a business."
-snip-
In fact, no scientific data back up claims that LVR increases a woman's sexual pleasure, so the American Urogynecology Society will not formally endorse it. The American College of Obstetrics and Gynecology refused to comment.
While there are plenty of legitimate reasons to have such a surgery, conventional or laser, the promotion of this process "Feel feminine again" seems like it's just one more case of the continuing commercialization of medicine, and that it's capitalizing on a woman's insecurity.
No details were given on why a 14-year-old girl might need such a surgery, but if it's not necessary, I'm against it, no matter who's paying for it.