Perineoplasty is a minor surgical procedure that will reduce the size of the vaginal opening. “Vaginoplasty” or “vaginal rejuvenation” are non-medical terms often used in the media to embellish or market a perineoplasty, and may or may not imply additional surgery. After childbirth, vaginal tissues may lose their tone, muscles at the opening may be torn or heal incompletely. This results in an increase in the width of the vaginal canal. Despite Kegel exercises or physical therapy, the vaginal tone may not improve this laxity. Consequently, perineoplasty typically is not undertaken until after childbearing is complete. During a perineoplasty, your surgeon will remove excess tissue at the vaginal opening. The size of the vaginal opening is reduced, and muscular supportive tissues at the vaginal opening are repaired. The goal of the surgery is to restore normal anatomy. If prolapse of the vaginal walls is present, then surgery that is more extensive may be necessary to restore pelvic anatomy.