Vesico-vaginal fistula has a very significant impact on the quality of life, the patient is in great pain and the family suffers together. Surgery is the only surgical means of treatment, but generally vesico-vaginal fistulas are complications of previous surgery, poor tissue conditions and the narrow perineal-pelvic space, making the success rate of traditional surgery low. Today, with laparoscopic surgery, it is possible to use the laparoscopic route to comfortably treat narrow areas that are difficult to operate on with open surgery and repair the vesicovaginal fistula while avoiding the large incisions of open surgery. Combined with the transepithelial repair of the vaginal fistula, this equates to double repair protection and greatly increases the success rate of the operation. Liu Yidong, Department of Urology, Shanghai Renji Hospital This article is published with the authorization of Dr. Liu Yidong.