The perineum—the area of skin tissue that extends from the vagina to the anus—is often injured from an episiotomy or tearing during childbirth. Thus, Perineoplasty reshapes and tightens the area between the vaginal opening and the anus. Perineoplasty is sometimes combined with vaginoplasty to tighten the posterior muscles and remove excess perineal skin and distal vaginal mucosa.  The procedure is known to eliminate or reduce the lax feeling of the area while improving the look and function of the genitalia. This option is suggested for patients without vaginal laxity, but that wish to repair and improve the sexual function and aesthetic appearance of the perineum after labor. A widened or scarred perineum can also have a negative affect on sexual activity and future pregnancies.