A Treatment for Torn Hymen This surgery is also often referred to as Hymenoplasty. Repair of a torn hymen is frequently done for religious or cultural reasons.
The hymenoplasty procedure is done under local anesthesic. While tissue dissection to prevent small blood vessels from bleeding, the areas which were torn is torn are removed. This is so that they will grow back together when they are approximated with stitches. Then after they are denuded, the edges are brought back together to reform the star-shaped "ring" as it was prior to relations, accident etc. It is made small enough, so that when first sexual relations occur later on, it will "tear" again, there will be some pain, and there will be bleeding.
This is a perfect annular hymen. It is called annular because the hymen forms a ring around the vaginal opening. As the hymen starts to erode from sexual or other activity, the hymen becomes less ring-like.
This is the vulva of a woman who has given birth. The hymen is completely gone, or nearly so.