The outcome of gender confirmation surgery, such as vaginoplasty for transgender women (male-to-female transition), is intended to be as close as possible to cisgender female genitalia in terms of appearance and function.

In a vaginoplasty procedure, surgeons use the skin from the penis and scrotum to create a neovagina (a surgically constructed vagina), labia, and clitoris. The aim of this surgery is to create female genitals that look as natural as possible and allow for sexual sensation. After healing, the result is often quite similar in appearance to cisgender female genitalia, but it varies from person to person based on individual surgical outcomes.

It’s important to note, though, that everyone’s body is different and the results of surgery will vary greatly from person to person. The specifics of the procedure, the individual’s health, the surgeon’s skill, and the aftercare all play roles in the final outcome.

A neovagina does not self-lubricate in the same way as a cisgender female’s vagina because it doesn’t have the same mucus membranes. Additionally, the neovagina does not have a cervix or uterus, so menstruation and childbirth are not possible. The neovagina does, however, allow for penetrative sexual intercourse.

As always, it’s best to consult with a knowledgeable healthcare professional who can provide detailed information about the procedure and what to expect. Also, remember that not all transgender women choose or can afford to undergo surgery, and their identities are valid regardless of surgical status.

The information I’ve provided is accurate as of my last update in September 2021. Always seek advice from healthcare professionals for the most up-to-date information.