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Vesicovaginal fistula (VVF) is one of the most common iatrogenic complications of pelvic surgery. Giant VVFs reported in the literature that were successfully repaired were done transabdominally or using a combination of different approaches. This study presents a giant VVF that was successfully repaired transvaginally. This is a case of a female who came in for continuous vaginal leakage which presented 3 weeks after a total hysterectomy. Physical examination revealed a 6.0×3.0 cm vaginal defect. The patient underwent Latzko repair of vesicovaginal fistula with peritoneal flap interposition. The patient had a successful repair and remained continent for 13 months on follow-up. Fistula size alone may not necessarily be a single determinant in the route of fistula repair. With surgical experience and other complex factors ruled out, successful vaginal repair of giant vesicovaginal fistulas proves to be possible.