White lesions of the vulva include white lesions of the vulva, leukoplakia of the vulva or vulvar dystrophy, which were previously thought to be vascular dystrophy, but with further understanding of the disease, the above changes were not found, but rather lesions with pigmentation changes and degeneration of the vulvar skin and mucosal tissue. Since the vulvar skin and mucosa of patients with sclerosing moss and squamous epithelial cell hyperplasia are mostly white, they are called white vulvar lesions, which are intraepithelial non-neoplastic lesions of the vulva. Sclerosing moss and squamous epithelial cell hyperplasia have changed their names several times in different ages due to different clinical and pathological understanding. Due to the confusion of the names, the International Society for the Study of Vulvar Diseases (ISSVD) referred to them collectively as “chronic vulvar dystrophy” in 1975. In recent years, the understanding of vulvar intraepithelial non-neoplastic lesions has increased, and no clear vascular neurotrophic disorder has been found in the vulvar lesions, so in 1987, the ISSVD and the International Society of Gynecologic Pathologists (ISGYP) discussed and developed a new classification of vulvar dermatoses. Recently, I have seen many patients with vulvar leukoplakia and I feel a lot of emotions. The formal name for vulvar leukoplakia is female sclerosing moss, which is a relatively common inflammatory disease of the female vulva. Many people think that vulvar leukoplakia is scary because they are worried about its cancer. In fact, the cancer rate of vulvar sclerosing moss is very low. According to European statistics, the cancer rate is only 5%, and there is a lack of information on this in China, but it is estimated that the cancer rate of vulvar sclerosing moss in Chinese people should be less than 5%. Moreover, the cancerous process of this disease is very slow, and it usually occurs only after years of sclerosing moss. Therefore, there is no need to worry too much about this. In addition, the treatment of this disease is not difficult. Generally speaking, for most patients, topical medication alone can cure the disease. Others require a combination of other treatments. Of course, treatment requires a long-term management and follow-up process. Therefore, patients with vulvar leukoplakia should not be overly worried. It is enough to seek treatment in time. At present, the treatment of this disease is really confusing in China, and some doctors have misunderstandings about this disease and its treatment. The disease belongs to the scope of dermatology, so it is recommended that patients should go to the dermatology department in a timely manner, preferably to the specialized dermatology clinic.