Vaginal cancer treatment depends upon the stage of cancer, size of the tumor, age and health of the woman, and if she wishes to have children. 

Surgery
Surgery is the most common vaginal cancer treatment, including removal of the tumor and healthy tissue around the tumor, and vaginal repair. Surgical options include:

Laser surgery: This procedure uses a focused beam of light to burn away cancer cells.

Tumor excision: During this procedure, cancer on the surface of the vagina is surgically removed.

Vaginectomy: This is the removal of the vagina and possibly some pelvic lymph nodes. A new vagina can be reconstructed from the woman’s own tissue.

Radical hysterectomy: If cancer has spread to other areas of the reproductive system, the uterus, ovaries and fallopian tubes may be removed.

Radiation therapy
After surgery, or if cancer has spread elsewhere in the body, this treatment uses high-energy radiation to kill cancer cells. The radiation is directed specifically to the vagina and other affected tissues or organs. Radiation can be given externally, where a beam of radiation is directed at the targeted treatment area, or internally using radioactive devices placed temporarily in the vagina. 

Chemotherapy
After surgery, or if cancer has spread elsewhere in the body, special drugs designed to kill cancer cells can be given as a pill, injected into the bloodstream or applied directly into the vagina in the form of a cream.