The procedure for male-to-female (MTF) transgender surgery, also known as gender confirmation surgery or gender reassignment surgery, typically involves several surgical interventions.

Here is a general outline of the common procedures involved:
⦁ Orchiectomy: This is the removal of the testicles, which reduces testosterone production. It is often the first step in the MTF transition process and can help alleviate gender dysphoria.
⦁ Vaginoplasty: This is the creation of a neovagina. There are different techniques for vaginoplasty, including penile inversion, sigmoid colon vaginoplasty, or the use of other tissues such as peritoneal tissue. The surgeon will discuss the various options with the patient to determine the most suitable approach.
⦁ Penile inversion: In this technique, the penile skin is used to create the vaginal canal. The head of the penis is repurposed to form the clitoral hood.
⦁ Sigmoid colon vaginoplasty: This technique uses a segment of the sigmoid colon to create the vaginal canal.
⦁ Labiaplasty: This involves shaping the labia minora and labia majora using tissue from the scrotum or other available tissues. The goal is to create natural-looking external genitalia.
⦁ Clitoroplasty: This procedure involves constructing the clitoris using sensitive tissue from the glans of the penis or other sources. The clitoris is a key erogenous zone and plays a crucial role in sexual pleasure.
⦁ Urethroplasty: This step involves the creation of a urethra within the neovagina. It allows for urination in a manner similar to cisgender women.
⦁ Additional procedures: Some individuals may opt for additional procedures such as breast augmentation, facial feminization surgery, or voice feminization surgery to further align their physical appearance with their gender identity.

It is important to note that the specific procedures and techniques may vary depending on individual needs and the expertise of the surgeon. Each patient’s journey is unique, and the surgical plan is tailored to their specific goals and circumstances. Prior to undergoing any surgical procedures, it is crucial to consult with a qualified surgeon who specializes in transgender surgeries to discuss the options, risks, benefits, and expected outcomes.