Vaginal reconstruction means creating a new or artificial vagina after you have had surgery to remove your vagina (vaginectomy). Complex vaginal surgery is performed to restore function and appearance to a sensitive and complicated region of the urethral and vaginal anatomy. The primary function of the varied surgical procedures is to correct defects or damage to allow the patient to enjoy a healthy, full life. Appearance, though recognized as important, is a secondary and often readily achievable goal. Surgery is seldom performed solely to enhance appearance.