Gender affirmation surgery is paramount in the treatment of gender dysphoria for transgender individuals. For transgender women, vaginoplasty offers the opportunity for removal of masculine-appearing genitalia and replacement with a gender-congruent appearance. While numerous techniques have been described in the past, approaches have standardized considerably. Herein, we describe a technique to penile inversion vaginoplasty and focus on some of the critical steps of the procedure to try to optimize patient outcomes. We also review relevant literature regarding perioperative outcomes. When considering vaginoplasty, patients and surgeons should adhere to WPATH guidelines for gender affirmation surgery.
Transgender vaginoplasty: techniques and outcomes
FAQ: Vaginoplasty | The Johns Hopkins Center for Transgender Health
Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and as far as possible, the function of female genitalia. Before any surgery, patients usually undergo hormone replacement therapy HRT and, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to undergo, including vaginoplasty , facial feminization surgery , breast augmentation and various other procedures. Additionally, a growing number of trans people and activists have voiced the opinion that gender confirmation surgery  or gender affirmation surgery [ citation needed ] are much more preferable terms to use, citing its more accurate description of the procedures' intentions and effects. Lili Elbe was the first well-known recipient of male-to-female sex reassignment surgery, in Germany in , the first being Dora Richter. She was the subject of four surgeries: one for orchiectomy , one to transplant an ovary , one for penectomy , and one for vaginoplasty and a uterus transplant. However, she died three months after her last operation.
Transfeminine Bottom Surgery
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Call or. Request Information. Refer a Patient. Gender affirmation surgery also known as gender affirming surgery or gender reassignment surgery for a transfemine person is sometimes called "bottom surgery.