Male to female sex reassignment surgery (MtF SRS) is a surgical procedure that alters the genitals of a person who was assigned male at birth to make them more feminine. The most common type of MtF SRS is vaginoplasty, which involves the construction of a vagina using tissue from the penis and scrotum. Other procedures that may be performed as part of MtF SRS include orchiectomy (removal of the testicles), vulvoplasty (construction of the labia), and clitoral reconstruction.

MtF SRS is a complex and major surgery that should only be performed by a qualified surgeon who has experience in transgender care. The surgery typically takes several hours to complete and requires a hospital stay of several days. There are risks associated with any surgery, but the risks of MtF SRS are generally considered to be low.

The benefits of MtF SRS can be significant for transgender women. The surgery can help to improve a person’s physical appearance and self-image, and it can also reduce gender dysphoria, which is the distress that can be caused by a mismatch between a person’s gender identity and their assigned sex at birth.

The decision to undergo MtF SRS is a personal one that should be made after careful consideration of the risks and benefits. If you are considering MtF SRS, it is important to talk to your doctor and a qualified transgender surgeon to learn more about the procedure and to discuss whether it is right for you.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH):
  • The American Society of Plastic Surgeons (ASPS):
  • The Trevor Project:

Male-to-female (MTF) sex reassignment surgery (SRS), also known as gender confirmation surgery or gender-affirming surgery, is a procedure that helps align a person’s physical characteristics with their gender identity. It involves various surgical procedures to create female genitalia and enhance feminine appearance. It is important to note that MTF SRS is a complex and highly individualized process, and the specific procedures performed can vary based on the patient’s goals, health, and surgeon’s recommendations.

Here are the common components of MTF sex reassignment surgery:

  1. Orchiectomy: The first step in MTF SRS is usually the removal of the testicles (orchiectomy). This helps eliminate testosterone production and reduces masculine hormone levels.
  2. Vaginoplasty: Vaginoplasty is the creation of a neovagina, which involves constructing a functional vaginal canal using existing penile and scrotal tissues. The penile skin is used to create the inner lining of the vagina, and the scrotal skin is often used to form the labia.
  3. Clitoroplasty: Clitoroplasty involves creating a clitoral hood and clitoral structure. The sensitivity of the glans penis is often preserved and used to create a clitoral structure that can provide sexual pleasure.
  4. Labiaplasty: Labiaplasty involves reshaping the labia minora and labia majora to create a more feminine appearance.

Additional procedures, such as breast augmentation and facial feminization surgery (FFS), can also be considered as part of a comprehensive gender confirmation process for individuals seeking a more complete feminization.

It is important to consult with experienced healthcare professionals who specialize in transgender healthcare and have expertise in MTF SRS. They can evaluate your specific needs, discuss the available options, provide realistic expectations, and guide you through the surgical process. It is crucial to have a thorough pre-operative evaluation, understand the potential risks and benefits, and have realistic expectations about the outcomes and recovery process.

Please keep in mind that the information provided here is a general overview, and the specific treatment approach will depend on the individual’s unique circumstances and the professional guidance received.