“Plasty” means “forming or repairing”, so vaginoplasty can refer to anything from tightening the vagina to removing excess scar tissue from an episiotomy or other vaginal trauma. Most commonly, it refers to an outpatient surgery under general anesthesia where the excess lining of the vagina is removed, and the underlying muscles are sutured together to reduce the size of the vagina and add support to the pelvic floor. Most patients are surprised at how little discomfort there is after surgery. There will be restrictions on strenuous activity for the first two weeks and restrictions on sexual activity and tampon use for 6-8 weeks.