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Women who have chronic vaginal pain or pain with intercourse are sometimes diagnosed with vestibulitis. Although vestibulitis has many non-surgical treatment options (such as medications, topical creams, physical therapy, anesthetic injections), some patients may be good candidates for a surgical treatment called vestibulectomy. In vestibulitis, the pain is thought to originate from the vestibule (also known as the hymen) skin.  This skin can be surgically removed with a vestibulectomy. This procedure is usually done in the outpatient plaza. Patients can go home the same day or the day after the procedure. In a vestibulectomy, the patient is placed under anesthesia, the hymenal skin is identified and surgically excised.  A flap of new tissue / skin is pulled over and sutured to the area that is excised.