Surgical treatment of this group of patients represents a serious technical challenge, the outcome of which affects both the physical and psychosocial health of the patients. The ideal reconstructive procedure should provide a vagina of suitable length and require minimal, if any, dilatation. Vaginoplasty should not leave scars, cause stenosis or prolapse, and the operation should have a good cosmetic result. Key words: Mayer-Rokitansky-Kuster-Hauser syndrome, prolapse of the artificial vagina, sigmoid colpopoiesis.