diff --git a/1.3/Assemblies/RJW_PlasticSurgeries.dll b/1.3/Assemblies/RJW_PlasticSurgeries.dll
index b9515f9..7756b5e 100644
Binary files a/1.3/Assemblies/RJW_PlasticSurgeries.dll and b/1.3/Assemblies/RJW_PlasticSurgeries.dll differ
diff --git a/About/About.xml b/About/About.xml
index 085e5f2..7632f9a 100644
--- a/About/About.xml
+++ b/About/About.xml
@@ -20,6 +20,11 @@
 			<steamWorkshopUrl>steam://url/CommunityFilePage/2009463077</steamWorkshopUrl>
 			<downloadUrl>https://github.com/pardeike/HarmonyRimWorld/releases/latest</downloadUrl>
 		</li>
+		<li>
+			<packageId>NuttySquabble.Dyspareunia</packageId>
+			<displayName>Dyspareunia</displayName>
+			<downloadUrl>https://gitgud.io/NuttySquabble/Dyspareunia</downloadUrl>
+		</li>
 	</modDependencies>
 	<loadAfter>
 		<li>Ludeon.RimWorld</li>
diff --git a/About/Manifest.xml b/About/Manifest.xml
index 9092d8f..e649e29 100644
--- a/About/Manifest.xml
+++ b/About/Manifest.xml
@@ -2,5 +2,5 @@
 
 <Manifest>
 	<identifier>RJW PlasticSurgeries</identifier>
-	<version>4942.0.1.0</version>
+	<version>4942.0.1.1</version>
 </Manifest>
\ No newline at end of file
diff --git a/Assemblies/RJW_PlasticSurgeries.dll b/Assemblies/RJW_PlasticSurgeries.dll
index b9515f9..7756b5e 100644
Binary files a/Assemblies/RJW_PlasticSurgeries.dll and b/Assemblies/RJW_PlasticSurgeries.dll differ
diff --git a/Source/RJW_PlasticSurgeries/Properties/AssemblyInfo.cs b/Source/RJW_PlasticSurgeries/Properties/AssemblyInfo.cs
index 669f1b8..8089574 100644
--- a/Source/RJW_PlasticSurgeries/Properties/AssemblyInfo.cs
+++ b/Source/RJW_PlasticSurgeries/Properties/AssemblyInfo.cs
@@ -31,5 +31,5 @@ using System.Runtime.InteropServices;
 // You can specify all the values or you can default the Build and Revision Numbers
 // by using the '*' as shown below:
 // [assembly: AssemblyVersion("1.0.*")]
-[assembly: AssemblyVersion("4942.0.1.0")]
-[assembly: AssemblyFileVersion("4942.0.1.0")]
\ No newline at end of file
+[assembly: AssemblyVersion("4942.0.1.1")]
+[assembly: AssemblyFileVersion("4942.0.1.1")]
\ No newline at end of file
diff --git a/Source/RJW_PlasticSurgeries/Recipe_Surgery_Vaginoplasty.cs b/Source/RJW_PlasticSurgeries/Recipe_Surgery_Vaginoplasty.cs
index 8adfe67..4702c5c 100644
--- a/Source/RJW_PlasticSurgeries/Recipe_Surgery_Vaginoplasty.cs
+++ b/Source/RJW_PlasticSurgeries/Recipe_Surgery_Vaginoplasty.cs
@@ -1,6 +1,7 @@
 using RimWorld;
 using rjw;
 using System.Collections.Generic;
+using Dyspareunia;
 using Verse;
 
 namespace RJW_PlasticSurgeries
@@ -31,7 +32,11 @@ namespace RJW_PlasticSurgeries
 
         protected void SurgeryResult(Pawn pawn)
         {
-            pawn.GetGenitalsList().FindAll(Genital_Helper.is_vagina).ForEach(hed => hed.Severity *= 0.75f);
+            pawn.GetGenitalsList().FindAll(Genital_Helper.is_vagina).ForEach(hed =>
+            {
+                hed.Severity *= 0.75f;
+                PenetrationUtility.AddDamageHediff(Dyspareunia.DamageDefOf.SexStretch, 0.5f, hed, null);
+            });
         }
     }
 }
\ No newline at end of file