Perineal repair is one of the most common surgical procedures performed. It generally occurs after a vaginal birth when the perineum is torn naturally or cut during an episiotomy. The perineum is the area between the vaginal and anal openings and is made primarily from muscle tissue. Tearing is common during a natural delivery, and episiotomies are commonly used by many doctors. Repair often involves the sewing together of torn or cut tissues to allow proper healing.