Male to female (MTF) gender confirmation surgery, also known as gender reassignment surgery or vaginoplasty, is a complex surgical procedure that involves creating female genitalia for individuals assigned male at birth. It is typically performed by a skilled surgeon who specializes in transgender healthcare.
Here is a general overview of the surgical process:
⦁ Pre-operative preparation: Before the surgery, you will have consultations with your healthcare team to discuss your goals, expectations, and any specific requirements. They will also assess your overall health and ensure you are prepared for the surgery.
⦁ Anesthesia: You will be administered general anesthesia to ensure you are asleep and comfortable during the procedure.
⦁ Skin and tissue preparation: The surgeon will begin by preparing the genital area. This typically involves removing hair from the surgical site and cleansing the area to minimize the risk of infection.
⦁ Tissue dissection and reconstruction: The surgeon will carefully dissect and reshape the existing genital tissue to create the new female genitalia. This involves various steps, including:
⦁ Penile inversion technique: The most common technique used in MTF surgery is the penile inversion method. In this approach, the penis is partially or completely removed, and the remaining penile skin is used to create the neovagina. The skin of the penis is inverted to form the vaginal canal, and the glans (head) of the penis may be used to create a clitoral hood and clitoral structure.
⦁ Labia creation: The surgeon will sculpt the labia majora and labia minora using the existing tissue and additional grafts if necessary. The goal is to create natural-looking labia that resemble those of cisgender women.
⦁ Clitoroplasty: A clitoral structure may be created using the glans of the penis or other tissues. This is done to provide sensory pleasure and enhance sexual satisfaction.
⦁ Urethral adjustment: The urethra is shortened and repositioned to allow for a more natural location in relation to the neovagina.
⦁ Closure and suturing: The surgeon will carefully close the incisions using dissolvable sutures. Surgical drains may be placed to remove excess fluid or blood from the surgical site.
⦁ Post-operative care: After the surgery, you will be taken to a recovery area where medical staff will monitor your vital signs and provide appropriate post-operative care. You will receive instructions on wound care, pain management, and follow-up appointments.
It’s important to note that the specific techniques and procedures may vary depending on the surgeon’s expertise and individual patient factors. The surgery itself is a significant procedure, and recovery time can vary. It’s crucial to follow the post-operative care instructions provided by your healthcare team and attend regular follow-up appointments for proper healing and to address any concerns.
Before undergoing any surgery, it is essential to consult with qualified healthcare professionals experienced in transgender healthcare. They can provide detailed information about the procedure, potential risks, benefits, and help guide you through the decision-making process.