Dr. Pegoli did a rectal and vaginal plasty today. He had to create an anus and vaginal opening. Neither "holes" were present at birth. All of Mia's parts were there internally, they just never came to the surface. This is part one of two surgeries to reverse her colostomy. The second part should be done somewhere between 10 and 12 months. Mia did not recover as well from this surgery as she did from her shunt surgery.