Bottom surgery: Difference between revisions
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On this page, "vagina" refers only to the orifice itself, not the associated external genitals called the vulva. This section is about creating, removing, or otherwise changing a person's vagina. Depending on what kind of body they started out with, a person can have one or more kinds of these surgeries, if there is something they want or need to change about their vagina. | On this page, "vagina" refers only to the orifice itself, not the associated external genitals called the vulva. This section is about creating, removing, or otherwise changing a person's vagina. Depending on what kind of body they started out with, a person can have one or more kinds of these surgeries, if there is something they want or need to change about their vagina. | ||
* '''[[Vaginoplasty]]'''. Surgery to create a vagina, meaning the orifice itself. If the patient was born with a penis, their penis can be part of what the surgeon can use to create a vagina. In the future, patients can get a vagina made from lab-grown tissues, so it isn't necessary to use tissues from their penis. | * '''[[Vaginoplasty]]'''. Surgery to create a vagina, meaning the orifice itself. If the patient was born with a penis, their penis can be part of what the surgeon can use to create a vagina. This is called [[penile inversion]] vaginoplasty. Another option is to use a piece of bowel to create a vagina ([[bowel vaginoplasty]]). Nongenital full-thickness graft (FTG) or split-thickness skin grafts from other parts of the body have been used to create a vagina. In the future, patients can get a vagina made from lab-grown tissues, so it isn't necessary to use tissues from their penis. | ||
* ''' | * '''[[Minimum depth vaginoplasty]], or labiaplasty without vaginoplasty'''. Surgery to create a vulva (the external genitals), without creating a vagina (the orifice). | ||
* '''[[Vaginectomy]]''' | * '''Vaginoplasty without penectomy'''. Surgical creation of a vagina, without changing the penis. This may or may not include orchiectomy. A patient might choose to remove the testes and penis in another operation, which may include clitoroplasty. Otherwise, the patient may be content to have a penis, testes, and vagina at the same time. This procedure has been called '''androgynoplasty''', '''penile-preservation vaginoplasty''', or '''[[phallus-preserving vaginoplasty]]''', and has only recently started to be offered by some providers. | ||
* '''[[Vaginectomy]]'''. Surgery to take away the vagina, so there is no orifice there. If the patient chooses to keep their uterus, then the vagina can just be made much smaller and unable to receive penetration, but still able to let menstrual fluids out. The vagina can be fully closed if the patient instead chooses to have their uterus taken away as well ([[hysterectomy]]), to make it impossible for the patient to receive vaginal penetration, have menstrual flow, or to get pregnant. Any type of vaginectomy can be done with or without making changes to the phallus or the location of the urethra. | |||
==Changes to the labia== | ==Changes to the labia== | ||
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* One form of labiaplasty is surgery to take away the labia minora and/or majora. This can be part of [[genital nullification]]. | * One form of labiaplasty is surgery to take away the labia minora and/or majora. This can be part of [[genital nullification]]. | ||
* One form of labiaplasty is surgery to create labia as part of doing a vaginoplasty (surgery to create a vagina). | * One form of labiaplasty is surgery to create labia as part of doing a vaginoplasty (surgery to create a vagina). | ||
* One form of labiaplasty is surgery to create | * One form of labiaplasty is surgery to create a vulva without vaginoplasty, so there are external genitals, but no orifice. Also called a [[minimum depth vaginoplasty]]. | ||
* Labia stretching. Not surgery, but a body modification practice that uses weights or methods of pulling over a long period of time to make the labia minora longer. | * Labia stretching. Not surgery, but a body modification practice that uses weights or methods of pulling over a long period of time to make the labia minora longer. | ||
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* '''Penectomy with orchiectomy''', called '''[[emasculation]]'''. Surgery to take away the penis and testicles, without trying to make the genital area like that of a person who was assigned a [[female]] gender at birth. The result is a relatively featureless groin. Before the invention of vaginoplasty, this was the main surgery done on trans women and analogous [[gender-variant identities worldwide]]. Some such individuals still prefer this surgery, such as [[hijra]]. Doing this makes it difficult to get a vaginoplasty later, which usually uses tissue from the penis. | * '''Penectomy with orchiectomy''', called '''[[emasculation]]'''. Surgery to take away the penis and testicles, without trying to make the genital area like that of a person who was assigned a [[female]] gender at birth. The result is a relatively featureless groin. Before the invention of vaginoplasty, this was the main surgery done on trans women and analogous [[gender-variant identities worldwide]]. Some such individuals still prefer this surgery, such as [[hijra]]. Doing this makes it difficult to get a vaginoplasty later, which usually uses tissue from the penis. | ||
* '''Metoidioplasty with [[scrotoplasty]]'''. Surgical creation of a penis and balls, without changing the vagina, if the patient had one. Some such patients choose to get a vaginectomy in another operation, if the patient wants. Other patients are content to have a penis, balls, and vagina at the same time. With or without scrotoplasty, the effect can amount to making the patient's genitals like those of a person who was born with certain kinds of intersex conditions. | * '''Metoidioplasty with [[scrotoplasty]]'''. Surgical creation of a penis and balls, without changing the vagina, if the patient had one. Some such patients choose to get a vaginectomy in another operation, if the patient wants. Other patients are content to have a penis, balls, and vagina at the same time. With or without scrotoplasty, the effect can amount to making the patient's genitals like those of a person who was born with certain kinds of intersex conditions. | ||
* '''[[Genital nullification]]'''. This can mean a variety of different surgeries, depending on what the person's body was like to begin with, to take away most or all of their reproductive organs and genitals. Some nonbinary people seek this in order to be genderless and sexless. However, one need not have genital nullification in order to be genderless, because gender identity is different than physical sex. | |||
* '''[[Genital nullification]]'''. This can mean a variety of different surgeries, depending on what the person's body was like to begin with, to take away most or all of their reproductive organs and genitals. Some nonbinary people seek this in order to be genderless and sexless. However, one need not have genital nullification in order to be genderless, | |||
==See also== | ==See also== | ||