摘要：Objective: To evaluate the success of a simple modified vestibulectomy in trea ting vulvar vestibulitis. Study design: Fifty-nine patients with vulvar vestibu litis refractory to nonsurgical treatment underwent modified vestibulectomy. Res ponse was defined as return to normal coitus and was graded as complete, partial or non-responsive. Results: The postoperative follow-up period was 6 months- 10 years. Thirty-nine (73.6%) patients reported complete response, 7 (13.2%) had partial response, and 7 (13.2%) were non-responsive to surgery. Conclusion : Surgery is an effective treatment for vulvar vestibulitis refractory to conser vative treatment. Simple modified vestibulectomy is considerably less invasive, technically simpler and probably less time consuming. Postoperative results empl oying this surgical procedure are found to be in line with postoperative results reported by others who employ surgical methods that are more extensive.