The successful use of Vecchietti's technique for creating a neovagina in a
case of Rokitansky syndrome with an associated transplanted kidney is repor
ted. The technique is performed by means of a laparoscopic approach, adapte
d to the special anatomical situation, in order to avoid renal injuries. Th
e accomplishment of a normally functioning neovagina, with no intra-operati
ve or post-operative complications, proves that this technique can also be
applied satisfactorily to this type of patient.