Stone women, also known as stone cores, are generally used by folk to refer to women who are congenitally unable to perform sexual acts. There are two types of stone women, the so-called “true stone (internal stone)” and “false stone (external stone)”. A true stone woman is a congenitally absent or atretic vagina, meaning that the vagina or vagina and uterus are underdeveloped or absent from the reproductive organs; a false stone woman is a hymenal atresia (or hypertrophy) or vaginal diaphragm, meaning that the vagina and other reproductive organs are well developed, but the penis cannot enter because of an abnormal condition of the vagina or hymen. In addition, some stones that resemble women are also called stone maidens. Principles of treatment for stone women The principle of treatment for stone women, congenital absence of vagina, is the reconstruction of the vagina. There are various methods of artificial vaginoplasty, with non-surgical treatments. The surgical treatment consists mainly in separating between the urinary bladder and the rectum to form an artificial cavity and applying different methods to find an appropriate cavity trauma covering to reconstruct the vagina. Stonewall treatment method 1. The parietal method Non-surgical treatment, applying parietal means, gradually advances the atretic vestibular mucosa in its normal vaginal position along the vaginal axis towards the cephalic end to form an artificial cavity. This method requires a long treatment time and the formation of an artificial vagina is short. It is difficult to succeed if the tissue is inflexible and has been largely abandoned. 2.Free skin flap grafting method A skin flap is taken from the perineum or thighs to cover the artificial cavity. It requires a long time to dilate the artificial vagina with a rigid vaginal mold after the operation to prevent contracture of the artificial cavity of the grafted skin flap, which increases the patient’s pain, and the skin is not mucous membrane and the tissue properties are too different for the male partner to adapt. 3.Use of amniotic membrane to cover the artificial cavity The amniotic membrane is a foreign tissue, which cannot survive and can only be temporarily covered and finally healed in the form of scar, and also does not conform to the tissue properties of mucosa and cannot be used for sexual intercourse. 4.Pelvic peritoneum The disadvantage of covering the artificial cavity is that it is easy to be infected by painful intercourse. 5.Use of labial flap to cover the artificial cavity Although it conforms to the tissue characteristics of mucous membrane and can have intercourse, it destroys the normal vulva shape and the male partner can see it at a glance, which will affect the psychology. 6.Sigmoid colon can be used as a substitute for vagina to achieve both function and form and to maintain a good sex life. The traditional surgery is performed openly and requires an incision of about 15-20 cm in the middle of the lower abdomen. This is a risky and traumatic operation, and the scar on the abdominal wall affects the aesthetics and the odor of the “vaginal” secretions. In addition, because of the thin muscles of the sigmoid wall, the “vagina” collapses and becomes loose after sex, which affects sexual pleasure. 7.Vaginal reconstruction with oral mucosa transplantation In order to further improve the quality of life of stone women, we have devoted our lives to improving and improving the procedure, including open sigmoid vaginal substitution, laparoscopic sigmoid vaginal substitution, laparoscopic wall vaginal repositioning, laparoscopic double membrane vaginoplasty, and biopatch vaginoplasty. -Biopatch vaginoplasty – Oral mucosal graft vaginal reconstruction – Button suspension vaginal repositioning. Oral mucosa graft vaginal rejuvenation is performed by taking part of the stone woman’s own oral mucosa and placing it inside the newly created vagina, which will grow in 14 days. It achieves the ideal of reconstructing a near normal vagina at minimal cost. Compared with laparoscopic wall vaginal repositioning, postoperative care is simple, bleeding time is short and sexual intercourse is possible 30 days after surgery. It is more suitable for people with deep vaginal crypt or those who are eager to get married. It is an upgraded version of wall-angle vaginal substitution surgery.