Up to now, there are only a few studies to have dealt with the psychosexual consequences of vulvar intraepithelial neoplasias (VINs) and their surgical treatment. Yet, these consequences cannot be ignored. The patients' daily experience is always complicated, especially because the disease--rightly or not--is assimilated to cancer, is a sexually transmissible infection, affects a part of the body with particular symbols, but also because today there are no certainties whatever on this subject. From the observation of patients followed by a team of specialists, this article aims to describe most frequent reactions, try to explain them, and consider what medical accompaniment and counsel might be proposed in these circumstances.