Conference Theme to which paper belongs: Pelvic reconstructive Surgeries.Aims : To evaluate efficacy of amniotic membrane graft in vaginoplasty as an alternative to skin graft. Materials and methods : It is a study of ten cases of vaginoplasty where amniotic membrane graft was used as an alternative to skin graft at tertiary institute over a period of 7 years. Results: The complication rates like Grafts not taken, infections, strictures were less in patients with amnion grafts as compared with skin grafts. Conclusion: Amniotic Membrane Graft shows better acceptance in vaginoplasty surgeries.