This Core Lecture tackles the sensitive and delicate topic of hymen repair surgery. It begins with a broad historical overview, current societal and cultural issues, and various methods of repairs that are both simple and refined used around the world. Dr. Alinsod also reviews methods used by two of his graduates Otto Placik and Michael Goodman. The simple yet elegant surgical video of Dr. Alinsod’s tried and true “Pillar Technique” is shown in great detail.