2024-11-09202110.7759/cureus.15784http://dx.doi.org/10.7759/cureus.15784https://hdl.handle.net/20.500.14288/14321Rectovaginal fistulas, which are abnormal epithelial-lined connections between the rectum and vagina, are challenging to treat. Treatment of recto-neovaginal fistulas is more complicated due to the altered perineal anatomy in individuals undergoing gender reassignment surgery. We present a recto-neovaginal fistula that occurred after reassignment surgery male-to-female transgender case of a was successfully treated with restorative perinea! grad loplasty.MedicineGeneral and internal medicineJournal Article2168-81846638270000205953