Background: Primary labial adhesions are acquired abnormalities involving the labia minora, but not the labia majora. Labial adhesion is the most common interlabial abnormality in children. Postpartum labial adhesions can occur secondary to badly managed vaginal delivery causing vaginal injuries and later scarring. Case: A 22-yearold primiparus woman presented with a pinhole vagina following a mismanaged vaginal delivery. Simple dissection of adhesions was done under anesthesia, complete recovery was achieved within 1 week, and normal sexual activity was regained. Conclusions: Fully trained delivery assistance is very essential for conducting a normal delivery, and optimum management can prevent most peripartum complications. Postpartum labial adhesions, even if they are severe, can be easily divided surgically under anesthesia to produce complete recovery with very satisfactory results. ( J GYNECOL SURG 26:267) JOURNAL OF GYNECOLOGIC SURGERY