As one of the author states in the book, surgery through the vagina is the most minimally invasive way to perform almost all gynecologic operations. In this light, it is important for surgeons in this field to be familiar with the vaginal and pelvic anatomy and the nuances involved in performing surgery through the vaginal route. Advances in Reconstructive Vaginal Surgery is a comprehensive textbook that wonderfully illustrates the various procedures that can be performed in the vagina. It starts with the antatomy and covers the issues of antibiotics, instruments, and graft materials specific for vaginal surgery. It then covers the various hysterectomies and salpingo-oophorectomy through the vaginal route and more interestingly various vagina related procedures such as surgery of the urethra, neovagina formation, colpocleisis, vaginal cerclage, and different antiincontinence surgical approaches. Thankfully, the authors also did not forget to include the all too important section on intraoperative and postoperative complication management. With ample illustrations, a free online access to not only the full text but an image bank and videos is a sure welcome that tremendously aids in the understanding of this difficult field. Just as the title suggests, this is a book dedicated to the operations performed on or through the vagina and will probably be a welcome addition to the bookshelves of both the novice and expert alike.