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The concept of virginity has significance only in a particular social, cultural or moral context. There are multiple other treatments associated in regaining concept of virginity. Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Labiaplasty (also known as labioplasty, labia minora reduction, and labial reduction) is a plastic surgery procedure for altering the labia minora (inner labia) and the labia majora (outer labia), the folds of skin surrounding the human vulva. There are two main categories of women seeking cosmetic genital surgery: those with congenital conditions such as intersex, and those with no underlying condition who experience physical discomfort or wish to alter the appearance of their genitals because they believe they do not fall within a normal range. The most common vaginoplasty technique is some variation of the penile inversion procedure. In this technique, a vaginal vault is created between the rectum and the urethra, in the same location as a non-transgender female between the pelvic floor (Kegel) muscles, and the vaginal lining is created from penile skin. An orchiectomy is performed, the labia majora are created using scrotal skin, and the clitoris is created from a portion of the glans penis. The prostate is left in place to avoid complications such as incontinence and urethral strictures. Furthermore, the prostate has erogenous sensation and is the anatomic equivalent to the "g-spot." Great care is taken to limit the external scars from a vaginoplasty by locating the incisions appropriately and with meticulous closure. Typical depth is 15 cm (6 inches), with a range of 12-16cm (5-6.5 inches); in comparison, typical vaginal depth in non-transgender females is between 9-12cm (3.5 to 5 inches). In the case of prior circumcision a skin graft, typically scrotal in origin, may be required. If there is insufficient skin between the penis and the scrotum to achieve 12cm (5 inches) of depth, a skin graft from the hip, lower abdomen or inner thigh may be used. Resultant scarring at the donor site may be minimized or hidden using standard techniques. Because the penile inversion approach does not create a vaginal mucosa, the vagina does not self-lubricate and requires the use of an external lubricant for dilation or penetrative sex. Scrotal skin has abundant hair follicles and it is possible to transfer skin with sparse hair growth into the vagina unless hair is removed in advance. Some surgeons rely on treating all the visible hair with aggressive thinning of the skin and cauterization of visible hair follicles at the time of surgery. However, since hair grows in stages this approach might not adequately address dormant follicles. The most reliable method of preventing hair growth in the vagina is to perform scrotal electrolysis, at least three full clearings 8-12 weeks apart, depending on electrologist preference and hair type and distribution. Surgeons should provide a diagram of the specific area for clearance. A common outcome of penile inversion vaginoplasty performed in a single stage (a "one-stage" vaginoplasty), with penile skin positioned between scrotal skin, is labia majora that are spaced too far apart. There may also be minimal if any clitoral hooding (except in heavier patients) and the labia minora may be insufficient after one operation. Although there are different variations of the one-step procedure, it has been the author's experience that these previously mentioned deficiencies are common. This constraint is due to factors inherent to the penile inversion approach and the limitations of the blood supply. From the standing position and with the legs together, most results appear acceptable; however, upon direct examination or intimate view, the deficiencies discussed above will be apparent. In order to adequately address these deficiencies, the author believes that a second operation is required. A secondary labiaplasty provides an opportunity to bring the labia majora closer to the midline in a more anatomically correct location, provide adequate clitoral hooding, and define the labia minora. In addition, there are many variables that can affect healing and the final result. Specifically, this secondary procedure also allows the surgeon to deal with differences in healing, such as revision of the urethra, correction of any vaginal webbing or persistent asymmetries, or revise scars that are unsatisfactory. These revisions will improve functionality and the final outcome for the patient and might not otherwise be addressed.