A new non-invasive approach is proposed that contemplates a method and apparatus to utilize two- or three-dimensional treatment patterns with a reverse thermal gradient to non-invasively heat a subjacent soft tissue structure through an intact tissue surface or an intact surface epithelium for clinical applications. For most clinical applications, an electromagnetic energy source with surface cooling is employed to heat the treatment patterns. Without limitation, the clinical applications include but are not limited to the treatment of post partum vaginal laxity, female incontinence, cervical incompetence with preterm labor, gastro-esophageal reflux, reduction of gastric reservoir capacity (for weight management), sleep apnea, snoring, pain management and the treatment of orthopedic injuries such as joint laxity and tennis elbow.