Vaginoplasty is a procedure to tighten the vagina. The procedure begins with the cleansing of the vagina and the surrounding skin. Then, the amount of tightening to be done is determined. A pie-shaped wedge is marked to delineate the extra skin to be removed from inside the vagina. Beneath the skin, the vaginal tissues are tightened with strong sutures. Once the vaginal canal has been tightened, the mucosal skin is sutured closed. Any protruding external skin is reduced for a more aesthetic result.