Vaginal rejuvenation should be performed in all patients with congenital absence of the vagina. How to choose the time for vaginal rejuvenation? If the vagina is complete, the surgery can be performed at any time for married patients, or shortly before marriage for unmarried patients, so that the sexual life after marriage can be fulfilling and the reconstructed vagina can be enlarged to prevent stenosis. If the vagina is incomplete and the uterus is functioning normally, lower abdominal pain at the onset of menstruation should be treated as soon as possible after diagnosis to avoid affecting the function of the uterus.