Vaginal agenesis is an uncommon condition, with an incidence ranging from 1 in 4,000 to 1 in 10,000. Congenital absence of uterus and vagina, also called müllerian agenesis or Mayer-Rokitansky-Kuster-Hauser syndrome, is the most common factor requiring creation of neovagina. Müllerian development is distinct from ovarian development and thus müllerian agenesis generally occurs without affecting the ovaries and normal external genitalia. The book is enhanced by full colour illustrations and photographic reproductions. Special attention has been paid to the illustrations and photographs to make them more accessible and informative. The technical description is superb and to the point.