Background: No paper on vaginal columnar rugation rejuvenation has been published so far. Objectives: To evaluate a new surgical technique of vaginal rugae restoration for the management of an acquired sensation of wide/smooth vagina (ASWSV). Methods: A prospective observational study was conducted. Ten women with ASWSV (group I) were compared to 10 healthy women (control group II). The vaginal rugation rejuvenation (VRR) technique was developed and appraised. The primary outcome measure was to assess VRR applicability. A secondary outcome measure was to evaluate the surgical resolution of symptoms and signs associated with ASWSV and the impact of VRR on female sexual function. Results: In group I, VRR was executed without complications and the surgical resolution of symptoms and signs associated with ASWSV was observed in all subjects. Improved feelings of penile strokes during coitus were also reported by all subjects of study group I. Conclusions:VRR (restoration) was accomplished without increasing the risks of complications. Surgical resolution of symptoms and signs was observed and sexual function improved by 18.75% following VRR in group I. This nonrandomized study precluded us from drawing the conclusion that VRR is a safe and effective operation.