Childbirth via vaginal delivery is a natural event.  However, it is sometimes complicated by unfortunate circumstances.  Examples of such events are tears in the vaginal canal, the introitus, or the posterior fourchette.  Proper reconstruction of these areas to aesthetic and anatomic ideals requires approximation of precise tissue planes.  As a bonus, the surgeon can often reduce the opening to simulate a virginal state.  This is an important consideration for many multi-parous women who have had several vaginal deliveries.  Unfortunately, many women feel embarassed to discuss the issue.  A considerate and knowlegable surgeon can educate the patient regarding the options available for surgical restoration.