Vaginoplasty (vaginal tightening, vaginal rejuvenation, vaginal reconstruction or vaginal enhancement) adjusts the vagina to the size recognized by a woman as the optimal size. It can be used to recreate the physical feeling of pre-pregnancy state where the vagina was tighter. It is done by removing excess lining of the vagina and tissue (including scars after the rupture and the incision), tightening the surrounding soft tissues and muscles and suturing the rejuvenated edges. The surgery is performed under general anesthesia or local anesthesia plus sedation, and lasts about 2 hours.

In the case of congenital malformations surgical correction is usually possible and can give good results. It can be also performed to repair the vagina following injury or disease.

If the correction of vagina concerns a woman in menopausal age the local application of estrogens is necessary.

The Vaginoplasty procedure can also solve problems of urinary incontinence, with involuntary urine loss when you sneeze, laugh or do certain exercises.

During vaginal surgical correction also the correct shape and continuity of the hymen can be restored (see Hymen Restoration).

Genital cosmetic surgery can be performed for functional or aesthetic reasons. Vaginal surgery is generally performed in women who had abnormal postnatal wound healing, which left wide scars. These scars may result in widening both the vaginal entrance and further parts of the vagina.