A 74-year-old transgender female presented with urinary difficulty and a painful lesion at her neo-vagina. 47 years after undergoing gender-affirming vaginoplasty. Initial biopsy reported Low-Grade Squamous Intraepithelial Lesion (LGSIL). while MRI revealed no inguinal or pelvic lymphadenopathy. https://www.spidertattooz.com/Safavieh-Couture-Maynard-Arm-Chair-KNT7049/