Vaginoplasty is plastic surgery for the vagina, performed to strengthen the vaginal muscles. The procedure can be undertaken as a medically required reconstructive surgery or an elective cosmetic surgery. Reconstructive surgery is judged to be a medical necessity because the vaginal canal or its structures are damaged or absent. This is usually due to either a congenital cause such as vaginal atresia (having a deformed, absent or non-functioning vagina) or an acquired cause such as an illness (cancer) or physical trauma (injury).
Sometimes vaginoplasty is combined with labiaplasty – a surgery to reshape the lips. A full vaginoplasty procedure takes about one to two hours. The surgery usually involves either pulling the pelvic floor muscles closer together, removing any loose excess skin and scar tissue, or a combination of the two. The result is a tighter, restructured vagina that will ideally provide more friction and better pleasure during sex.