I was wondering if anyone knows what I am in for. My DR. recommends that I have Laser Vulvectomy for VIN. I've had a biopsy in March of 2007. Came back VIN II. Then in July I had an excision because she did not get all with the biopsy. I still had the condition in the surronding tissue and now it has gone from a VIN II to a VIN III. She has scheduled Laser Vulvectomy. I have also used the creme with no results. It is still in the PRE-CANCER stage. Am I doing the right thing? She tells me I will be uncomfortable for awhile and needs sometime off of work, I sit a a desk all day. She also tells me probably the reason I got this was my immune system was down since I have lost 70lbs. I do feel good, but just scared.