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INTRODUCTION Post-traumatic vaginal stenosis is a rare condition characterized by the narrowing of the vaginal canal following traumatic events, infections or may even be iatrogenic in nature. It is particularly concerning in adolescents as it can affect their physical health and emotional well-being. In severe cases, traditional methods of management may prove insufficient, leading to the consideration of surgical options such as vaginostomy. AIMS AND OBJECTIVES The purpose of this report is to describe a case of post-traumatic vaginal synechiae in an adolescent girl and evaluate the efficacy of vaginostomy as a treatment option. MATERIALS AND METHODS This is a case of a 12-year-old girl with h/o RTA with Type C pelvic fracture with left intertrochantric fracture with complete periurethral transection. She underwent appendicovesicostomy with suprapubic cystotomy at 5 years of age EUA with vaginostomy followed by hysteroscopic adhesiolysis done. Post-surgery, the patient exhibited significant improvements in vaginal patency. CONCLUSION Vaginal stenosis caused by trauma is a rare occurrence and proper initial management can help prevent it. This case demonstrates that hysteroscopic adhesiolysis is a viable and effective surgical intervention for adolescents suffering from post-traumatic vaginal stenosis. Early diagnosis, appropriate surgical intervention and long term follow up are critical for optimizing outcomes especially in young patients.