VVS is a complex disorder affecting upward of 10% of reproductive age women and it is the most common diagnosis among women with persistent complaints of entry dyspareunia. Nevertheless, the etiology and optimal treatment for VVS remains unknown. A range of therapeutics is utilized for treatment of this condition with variable response rate. Surgical removal of vestibular mucosa is the most common treatment for tractable cases with a reported response rate as high as 80%. However, it is often difficult to compare effectiveness of studies for surgical treatment of VVS (i.e., postvestibulectomy) due to short duration of follow up and subjective measures of pain and quality of life. Thus, the objective of this study was to investigate long term pain report, sexual function, and psychological distress among women who had undergone vestibulectomy for the treatment of refractory VVS at our tertiary pelvic pain clinic at the U. of North Carolina, Chapel Hill.