And no reputable medical organization endorses penis surgery for purely cosmetic reasons. using this same technology, the O-Shot ® procedure works by using PRP to stimulate stem cells to grow healthier vaginal tissue. You can now take care of all your sexual wellness needs from one trusted source. Now offering premium personal lubricants, condoms, female arousal gel, and VitaFLUX™ wellness supplement. Traditional Medicare does not require any authorization for these procedures, but if you have Medicare Advantage coverage, your physician may need to get approval before scheduling your surgery.