**3.6 Surgical treatment**

In uncomplicated forms of LS, there is no evidence of removal of vulvar tissue. Surgical treatment should be applied exclusively in case of malignant transformation and recurrent forms.

When there is a narrowing of the opening of vagina, perineoplasty is performed, which improves dyspareunia in 90% of cases and improves the quality of sexual life in 86% of cases.

Simple vulvectomy should not be preferred because the symptoms do not always disappear, the signs reappear, and the likelihood of malignant transformation persists. Also, the operation creates many psychosocial problems.
