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Many different things can damage a woman’s vagina, but the most common culprits are childbirth, sex, and excessive weight gain (which can over-stretch and damage the muscles). Any of these circumstances can extend the vagina’s opening beyond its usual size; in many cases, such as in a difficult childbirth where the opening is not large enough for a baby to come out, it may even be done deliberately.

A Perineoplasty will repair the damage done to the perineum and vulva by carefully putting the muscles back together along the vaginal floor. Post-operative care typically takes from 4 to 6 weeks.