MTF vaginoplasty is a surgical procedure that creates a vagina in transgender women. The procedure is typically performed by a plastic surgeon or a urogynecologist.

There are two main types of MTF vaginoplasty: penile inversion vaginoplasty and labiaplasty.

  • Penile inversion vaginoplasty is the most common type of MTF vaginoplasty. In this procedure, the surgeon uses the skin and tissue from the penis to create the vagina. The urethra is also repositioned and shortened.

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  • Labiaplasty is a procedure that reshapes the labia majora and minora. This procedure is often performed in conjunction with penile inversion vaginoplasty.

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The recovery period for MTF vaginoplasty varies depending on the specific procedure that is performed. However, most people are able to return to work and normal activities within a few weeks.

The risks of MTF vaginoplasty include:

  • Bleeding
  • Infection
  • Pain
  • Urinary incontinence
  • Fistula (an abnormal connection between two organs or body parts)
  • Scarring

MTF vaginoplasty is a major surgery, and it is important to do your research and to find a surgeon who is experienced in performing these procedures. You should also be aware of the risks and complications associated with MTF vaginoplasty, such as bleeding, infection, and scarring.

The cost of MTF vaginoplasty varies depending on the surgeon’s fees, the location of the surgery, and the specific procedures that are performed. In the United States, the average cost of MTF vaginoplasty is approximately $50,000.

If you are considering MTF vaginoplasty, it is important to talk to your doctor and to do your research to make sure that this is the right decision for you.

Here are some additional resources that you may find helpful:

  • World Professional Association for Transgender Health (WPATH):
  • The Trevor Project:
  • Trans Lifeline:

MTF vaginoplasty, also known as male-to-female gender confirmation surgery or genital reconstruction surgery, is a surgical procedure that involves the creation of a neovagina for transgender women. The main goal of this surgery is to create external genitalia that closely resemble those of cisgender women and provide transgender women with a functional and aesthetically pleasing vaginal canal.

The specific techniques and procedures used in MTF vaginoplasty may vary depending on the surgeon and the patient’s individual anatomy and goals. However, the general steps involved in the surgery may include:

  1. Preoperative Preparation: This includes a thorough evaluation by a qualified surgeon, discussions about expectations and goals, and the possibility of undergoing hormone therapy prior to surgery to facilitate tissue changes.
  2. Surgical Incision: The surgeon makes an incision in the genital area to create the neovaginal cavity. Different techniques may be used, such as penile inversion, where the penile skin is inverted to form the vaginal lining.
  3. Removal of Testicular Tissue: In most cases, the testicles are removed during the same surgery in a procedure called an orchiectomy. This is often done to reduce testosterone production and eliminate the need for ongoing anti-androgen medications.
  4. Creation of the Vaginal Canal: The penile skin is used to line the vaginal canal, and the excess skin and erectile tissue are removed. The surgeon carefully constructs the vaginal opening and shapes the labia.
  5. Clitoroplasty: The glans of the penis is reshaped and positioned to create a clitoris, which is sensitive and can provide sexual pleasure.
  6. Closure and Healing: The incisions are sutured, and appropriate postoperative care and follow-up visits are provided to ensure proper healing.

Recovery from MTF vaginoplasty can take several weeks to months, and it is essential to follow the postoperative care instructions provided by the surgical team. Dilating the neovagina regularly with graduated dilators helps maintain its depth and prevent scarring.

It’s important to note that MTF vaginoplasty is a major surgical procedure with potential risks and complications, and the decision to undergo this surgery should be made after careful consideration, discussion with qualified healthcare professionals, and in accordance with individual needs and goals. It is advisable to consult with experienced surgeons who specialize in transgender healthcare to discuss the specific details, risks, benefits, and potential outcomes of the procedure.