Objectives: The inlay skin grafting technique proposed by McIndoe is by far the most popular and the safest technique for treatment of vaginal agenesis. The purpose of the current study is to present clinical experiences and long-term results of modified Abbé -McIndoe technique. Study Design: We present the long-term results of 22 patients with a follow-up period ranging between 7 and 14 years. Results: Mean vaginal depth was recorded to be 8 cm and narrowing of the vagina was not noted. Only in two cases was deficient vaginal depth observed which was due to inadequate use of the mould in the postoperative period. Histologic study of the specimens obtained from the neovagina revealed normal vaginal mucosa in all patients. Conclusion: Although numerous methods have been described since the first surgical intervention for the correction of vaginal agenesis, a modified Abbé -McIndoe technique is still the effective and preferred one. Objectives: The inlay skin grafting technique proposed by McIndoe is by far the most popular and the safest technique for treatment of vaginal agenesis. The purpose of the current study is to present clinical experiences and long-term results of modified Abbé-McIndoe technique. Study Design: We present the long-term results of 22 patients with a follow-up period ranging between 7 and 14 years. Results: Mean vaginal depth was recorded to be 8 cm and narrowing of the vagina was not noted. Only in two cases was deficient vaginal depth observed which was due to inadequate use of the mold obtained during the postoperative period. Histologic study of the specimens obtained from the neovagina revealed normal vaginal mucosa in all patients. Conclusion: Although numerous methods have been described since the first surgical intervention for the correction of vaginal agenesis, a modified Abbé-McIndoe technique is still the effective and preferred one.