I haven’t had the Botox precedure done but I absolutely agree that the procedure alone, in most cases, wouldn’t be enough to cure the issue of vaginismus. You still wouldn’t be used to the feel of something inside of you, as I imagine most patients have never managed to penetrate before so the feeling would be entirely new and strange to them, causing anxiety in itself. Then there is the doubt – what if it didn’t work for you? What if it still will hurt? If you don’t have that moment of waking up and knowing you have something so large inside of you without pain, I imagine it would be hard to rid your mind of that doubt, at least in the beginning. So much of the condition is to do with fear and anxiety at the perceived pain and discomfort you will feel that curing the physical side of it only just won’t be enough. Having that dilator inside of you pain free when you first awake gives you that kick-start you need to gain the confidence at seeing the treatment through.