A vaginal manipulator (20) includes a shaft (22) attached to a head (26) and a door (28) connected to the head. The head has an anterior side (40) opposite a posterior side (42) and includes a core (44) fixed to the shaft and a sleeve (46) coupled in a sliding relationship to the core. The door is coupled to the core and is movable relative to the posterior side of the head through an opening provided in the sleeve. A proximal end (48) of the core defines a proximal end of the head and a distal end (50) of the sleeve defines a distal end of the head. The proximal end of the core is fixed to the shaft. The sleeve moves relative to the core to provide the head with an adjustable length between the proximal end of the head and the distal end of the head.