Vaginoplasty is a surgical procedure that reconstructs or creates the vagina. There are two main reasons why someone might have vaginoplasty: Repair: This could be to fix injuries, address congenital abnormalities (present from birth), or reverse childbirth-related changes.Gender Affirmation: Vaginoplasty is also part of gender-affirming surgery for transgender women. Congenital Abnormalities: Some people are born with vaginal defects like an underdeveloped vagina or a blockage. Vaginoplasty can create a functional vagina.Childbirth Changes: Childbirth can stretch and weaken vaginal muscles. Vaginoplasty can tighten these muscles and improve control. Gender Affirmation: Vaginoplasty creates a vagina and vulva for transgender women undergoing gender-affirming surgery.