The paired domination subdivision number of a graph is the minimum number of edges that must be subdivided (where an edge can be subdivided at most once) in order to increase the paired domination number of . We prove that the decision problem of the paired domination subdivision number is NP-complete even for bipartite graphs. For this reason we define the paired domination multisubdivision number of a nonempty graph , denoted by , as the minimum positive integer such that there exists an edge which must be subdivided times to increase the paired domination number of . We show that for any graph with at least one edge. We also determine paired domination multisubdivision numbers for some classes of graphs. Moreover, we give a constructive characterizations of all trees with paired domination multisubdivision number equal to 4.