Vaginal laxity is a common genital canal disorder in married women, especially after childbirth. The vaginal sphincter is relaxed due to the repeated dilatation of the vagina caused by prolonged sexual intercourse and the extreme dilatation of the vagina caused by childbirth, or in some cases, the birth injury that was not repaired in time. This results in a weakening of the friction between the vagina and the penis during sexual intercourse, resulting in reduced sexual pleasure for both men and women and even difficulty in reaching orgasm. On physical examination, it can be seen that although the external vaginal opening can still be closed naturally, the ring force of the vaginal sphincter is weakened on finger examination, and sometimes the scar left after the birth injury is visible. Pre-operative preparation: If you have vaginitis or urethritis, you should be treated first. Avoid menstruation, preferably between the end of menstruation and one week before the next period, and wash your vulva twice a day for 2 or 3 days before surgery. The basic steps of the procedure are: excision or peeling of the mucosa; repair of the damaged muscles or folding and suturing of the relaxed sphincter; and suturing of the mucosal tissue. The patient is placed in a lithotomy position, and a strip of mucosal tissue is longitudinally excised from the anterior part of the vagina at 6 o’clock, depending on the degree of vaginal laxity, the exposed bulbocavernosus muscle is pulled together and sutured to form a suitable external vaginal opening, and the mucosa is sutured. Alternatively, a curved incision can be made between 5 and 7 o’clock along the junction of the skin and mucosa of the external vaginal opening, the vaginal mucosa can be peeled up under the mucosa, the lax bulbocavernosus muscle can be pulled together and sutured, and the incision can be removed or left in place and finally sutured. The incision can also be made on the left and right side of the vagina, following the latter method of vaginal tightening. After surgery, iodine gauze is placed in the vagina and removed after 3 days, the vulva is cleaned daily and the stitches are removed in 7 days (if absorbable sutures are used, the pain of removal can be avoided). Intercourse should be avoided for 6-8 weeks after surgery to avoid wound tears that could cause surgical failure. Although vaginal tightening is not a very complicated procedure, it still requires some experience and surgical skill. The sutures of the bulbocavernosus muscle should be tight and loose, too loose to achieve the desired result, too tight to be physiologically correct and increase the risk of tearing during intercourse. Care and skill are especially needed when removing or stripping the vaginal mucosa, as inadvertence may damage the anterior rectal wall and cause a rectovaginal fistula. There are different approaches to the management of excess vaginal mucosa, but the author prefers to preserve as much of the mucosa as possible to increase the folds of the vaginal wall. The main complications of vaginal tightening are: infection, wound dehiscence and non-healing, and rectal injury.