Description: Detailed Step-By-Stop full surgical case on how to manage a Vaginoplasty Revision for tightening to 1 ½ Fingers Tightness. Narrated Commentary of Surgical Pearls for this challenging surgical case. When a patient wishes to receive the tightest possible vaginoplasty it can be challenging for the dissection and suturing. When it is a revision case it is even more problematic due to adhesions and scar tissue that can be difficult to dissect apart. This video goes over the methodology for safely dissecting a previous posterior repair and previous vaginoplasty and keeping a beautiful prior perineoplasty intact at the same time. This video shares Dr. Alinsod’s secret of how to get to that 1 ½ Fingers Tightness successfully and consistently.