Male-to-female (MTF) reassignment surgery, also known as gender confirmation surgery or gender-affirming surgery, is a complex surgical procedure that aims to create female genitalia and modify the physical appearance of the body to align with a person’s gender identity. The specific procedures involved in MTF reassignment surgery may vary depending on individual needs and preferences, as well as the surgical techniques used by the surgeon. Here are some common procedures involved in MTF reassignment surgery:

  1. Orchiectomy: This procedure involves the removal of the testicles, typically performed as the first step in the surgical process. It eliminates the production of testosterone and may alleviate gender dysphoria.
  2. Penile Inversion Vaginoplasty: The most common technique for constructing the neovagina in MTF reassignment surgery is penile inversion vaginoplasty. It involves reshaping the penile and scrotal tissues to create the labia majora and labia minora, and the penile skin is used to line the vaginal canal.
  3. Clitoroplasty: A clitoris is constructed using a portion of the glans penis, preserving sensation and creating a sensitive area similar to the clitoris.
  4. Urethroplasty: The urethra is repositioned and lengthened to allow for urination through the neovagina.
  5. Labiaplasty: The labia are further refined and shaped to enhance the aesthetic appearance of the neovagina.

In addition to these primary procedures, other surgical techniques may be performed as part of MTF reassignment surgery, including breast augmentation, facial feminization surgery, and voice feminization surgery. It’s important to note that not all transgender individuals choose to undergo all of these procedures, and the specific combination of surgeries is tailored to each person’s individual goals and needs.

MTF reassignment surgery is a complex and multi-stage process that requires careful evaluation, extensive pre-operative counseling, and ongoing post-operative care. It is crucial to consult with experienced healthcare professionals who specialize in transgender healthcare to receive personalized guidance, discuss the available options, and understand the potential risks, benefits, and expected outcomes of the procedures.