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To describe a stepwise demonstration of a vaginal approach for nerve-sparing reduction clitoroplasty. Video of a case report. Tertiary, academic hospital (Women's Hospital, University of Campinas). An 18-year-old nulliparous woman consulted with complaints of primary amenorrhea, small development of breasts, and an increase of the clitoris in the last months. A physical examination revealed a 5-cm clitoromegaly, normal but small breasts, and normal vulvar pili. Laboratory examinations showed XY karyotype and increased levels of de