Surgery may be an option for women with severe pain from vulvar vestibulitis who have not found relief through other treatment options.1 A vestibulectomy (pronounced ve-STIB-yuh-LEK-tuh-mee) removes the painful tissue of the vestibule and may help relieve pain and improve sexual comfort. However, surgery is usually considered a last resort and is not recommended for women with generalized vulvodynia.2