You can have vaginoplasty for both functional and cosmetic reasons. Functional reasons are things like sexual intercourse or urinary incontinence. Cosmetic means how something looks or makes you feel. There are many reasons why you may decide to pursue vaginoplasty. Some of those reasons are:

• Vaginal childbirth: A vaginal delivery stretches and loosens your vaginal muscles. Aging can also cause your vagina to lose its tightness. This can cause uncomfortable symptoms and affect sexual function.
• Medical conditions: People may need vaginal reconstruction after undergoing radiation to treat cancer. A vaginoplasty can also help reshape your vagina if your provider removes it during cancer treatment.
• Congenital conditions: Certain congenital abnormalities (conditions present at birth) can affect how your vagina looks and functions. This could include being born without a vagina or being unable to menstruate due to an underdeveloped vagina.