The overall goal of treatment for congenital anovaginal girls is to reconstruct an ideal new vagina, whatever the method, and to bring the function of this new vagina as close as possible to the physiological state. The majority of the treatments for congenital anovaginismus are surgical, and there are more and more surgical methods, with more than 100 surgical methods, each with its own advantages and disadvantages. Among them, peritoneal vaginoplasty and sigmoid vaginoplasty, which are more commonly used in China, are familiar to everyone. However, what is often overlooked are the non-surgical treatment methods. The non-surgical compression method is simple, convenient, non-invasive, safe and does not require the payment of surgical medical expenses, but it requires the patient to have enough perseverance, be able to tolerate certain pain and make a sustained effort to have a hope of success. The method is as follows: a wooden rod or a non-toxic plastic smooth rod of 1.5, 2, 3 and 3-5 cm in diameter is used to compress the vestibule and turn it into an artificial vagina. The use of the mold should start with a small size and progress gradually, but the process varies according to the elasticity of the mold. The compression is usually done 1-2 times a day for 30 minutes and the compression technique should start with an inward and downward oblique direction and later turn flat. The method is started in the hospital outpatient clinic and after proficiency, the patient can be taught to operate at home by themselves, but must remember to return to the hospital for regular follow-up. Because the tissue inside the patient’s labia is usually loose, if done well enough, with patience and cooperation, the success rate of this non-surgical method is high, and in successful cases the sockets can be made up to 7-8 cm deep and about 3 cm in diameter after a few months of treatment, which basically solves the problem of sexual life satisfactorily. However, not every anovaginal patient is suitable for non-surgical treatment. Surgery is recommended for patients who have failed non-surgical dilatation, who have a functional uterus, who have accumulated blood in the uterine cavity, who have significant abdominal pain, who are getting married soon and need to form a vagina as soon as possible, or for patients who are out of town and have inconvenient regular visits. In addition, in some special cases, if the doctor feels that non-surgical treatment is not appropriate, surgery may be considered.