Vaginal cancer is very rare and tends to be incidental as part of preventive care or due to bleeding. Depending on the location of the vaginal cancer, it is more likely to be operated on or irradiated, both of which are correct. The therapy is based very much on that of cervical cancer, as there are hardly any meaningful studies on therapies, especially since the disease is too rare. With the surgical techniques, the vagina does not always have to be completely removed; there are also good reconstructive techniques. The diagnosis always requires a very individual approach.