Vaginoplasty

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Surgeries and procedures

Top surgery
- Enlarging (breast augmentation)
- Reducing or removing (mastectomy or breast reduction)
Bottom surgery
- Changes to the gonads
  - Removing testicles (orchiectomy)
  - Removing ovaries (oophorectomy)
- Changes to the phallus
  - Creating (phalloplasty)
  - Removing (penectomy)
  - Making a clitoris more like a penis (metoidioplasty)
- Changes to the vagina
  - Creating (vaginoplasty)
  - Removing (vaginectomy)
- Changes to the labia
- Changes to the uterus
  - Removing (hysterectomy)
  - Sterilizing (tubal ligation)
  - Stopping periods (uterine ablation)
  - Uterus transplant
- Combined changes
  - Removing penis and testes (emasculation)
  - Removing most or all genitals (genital nullification)
- Creating a vulva (Vulvoplasty)
- Creating a scrotum (scrotoplasty)
- Sterilization
Other surgeries and procedures
- Adam's apple reduction
- Facial surgery

A vaginoplasty is a medical procedure, typically where doctors create a vagina from skin and tissues from the penis and scrotum; however, there are many forms of vaginoplasties. The doctor creates a clitoris using the tissue from the head of the penis; the majority of transfeminine people who have vaginoplasty can still orgasm with the same intensity or greater intensity after recovering from the procedure.^[1]^[2] Tissue from the foreskin is used to create the vaginal opening (introitus), and skin from the penis and scrotum is used to create inner and outer labia.^[3]

Some time after the vaginoplasty surgery, the patient needs to start a regimen of dilating their vagina, and continue this for one year. Physical therapy for the patient's pelvic floor is also important post-surgery.^[3]^[4]

Vaginoplasty is different from a vulvoplasty because it involves creating a vaginal canal.^[3]

People who already have vaginas can also undergo a procedure called vaginoplasty, although in that case it is a wholly different procedure which, instead of creating a vagina, merely "tightens the vagina and surrounding muscles and soft tissues" in order to increase sexual satisfaction.^[5]

External links[edit | edit source]

The Mad Gender Science Wiki has an article comparing surgeons who offer vaginoplasty.

References[edit | edit source]

↑ Boskey, Elizabeth; Ganor, Oren (7 January 2021). "Sexual health and gender-affirming care". Harvard Health Blog. Archived from the original on 17 July 2023. Retrieved 27 January 2021. Vaginoplasty restructures the head of the penis into a clitoris and creates a vaginal cavity. In one study of 119 vaginoplasty patients, 90% of transfeminine people who had the surgery reported that they were still able to have an orgasm, and 75% said their orgasms were either the same or more intense than before.
↑ Hess, J.; Henkel, A.; Bohr, J.; Rehme, C.; Panic, A.; Panic, L.; Rossi Neto, R.; Hadaschik, B.; Hess, Y. (27 May 2018). "Sexuality after Male-to-Female Gender Affirmation Surgery". BioMed Research International. Hindawi Limited. 2018: 1–7. doi:10.1155/2018/9037979. ISSN 2314-6133. Archived from the original on 17 July 2023.
↑ ^3.0 ^3.1 ^3.2 "Transfeminine Bottom Surgery". University of Utah Health. Archived from the original on 17 July 2023. Retrieved 27 January 2021.
↑ "Dilation Instructions" (PDF). University of Utah Health. Archived from the original (PDF) on 17 July 2023. Retrieved 27 January 2021.
↑ "Vaginoplasty - Fit and Fabulous". Manhattan Center for Vaginal Surgery. Archived from the original on 17 July 2023. Retrieved 22 February 2021.

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[HHB-1] Boskey, Elizabeth; Ganor, Oren (7 January 2021). "Sexual health and gender-affirming care". Harvard Health Blog. Archived from the original on 17 July 2023. Retrieved 27 January 2021. Vaginoplasty restructures the head of the penis into a clitoris and creates a vaginal cavity. In one study of 119 vaginoplasty patients, 90% of transfeminine people who had the surgery reported that they were still able to have an orgasm, and 75% said their orgasms were either the same or more intense than before.

[Hess-etal-2] Hess, J.; Henkel, A.; Bohr, J.; Rehme, C.; Panic, A.; Panic, L.; Rossi Neto, R.; Hadaschik, B.; Hess, Y. (27 May 2018). "Sexuality after Male-to-Female Gender Affirmation Surgery". BioMed Research International. Hindawi Limited. 2018: 1–7. doi:10.1155/2018/9037979. ISSN 2314-6133. Archived from the original on 17 July 2023.

[UofUtah-3] 3.0 ^3.1 ^3.2 "Transfeminine Bottom Surgery". University of Utah Health. Archived from the original on 17 July 2023. Retrieved 27 January 2021.

[UofUtah-dilation-4] "Dilation Instructions" (PDF). University of Utah Health. Archived from the original (PDF) on 17 July 2023. Retrieved 27 January 2021.

[MCVS-5] "Vaginoplasty - Fit and Fabulous". Manhattan Center for Vaginal Surgery. Archived from the original on 17 July 2023. Retrieved 22 February 2021.

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