Vaginoplasty, like any major surgical procedure, carries potential risks and complications. The risks can vary depending on individual factors, the specific surgical technique used, and the overall health of the patient. It’s essential to thoroughly discuss the potential risks and benefits of vaginoplasty with your healthcare provider before making a decision to undergo the surgery. Some potential risks and complications of vaginoplasty may include:

  1. Bleeding: Excessive bleeding during or after surgery may occur, requiring medical intervention.
  2. Infection: Surgical site infections are possible and may require antibiotic treatment.
  3. Hematoma: A collection of blood (hematoma) may form under the skin or within the surgical site.
  4. Wound Healing Issues: Some individuals may experience delayed wound healing or wound breakdown.
  5. Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE): Blood clots may form in the legs (DVT) and travel to the lungs (PE), which can be life-threatening.
  6. Anesthesia-related Risks: Risks related to anesthesia administration, such as adverse reactions or breathing difficulties.
  7. Urinary Complications: There may be temporary or permanent changes in urinary function, such as difficulty urinating or urinary leakage.
  8. Vaginal Stenosis: The neovagina may narrow over time (vaginal stenosis), necessitating ongoing dilation to maintain adequate depth.
  9. Loss of Sensation: Some individuals may experience decreased sensitivity in the neovagina or clitoris.
  10. Fistula Formation: Abnormal connections between the neovagina and nearby structures, such as the rectum or bladder, may develop.
  11. Unsatisfactory Aesthetics: Despite the surgeon’s best efforts, some individuals may be dissatisfied with the appearance of their neovagina.
  12. Emotional Adjustment: The surgery may have emotional implications that require support and counseling during the post-operative period.

It’s important to note that the risks and complications of vaginoplasty can be minimized by selecting a qualified and experienced surgeon and following post-operative care instructions diligently. Surgical outcomes can vary, and individual experiences may differ.

Before undergoing vaginoplasty, individuals typically undergo a comprehensive evaluation process, including counseling and living in their affirmed gender role for a specific period. This process is intended to ensure that the individual is well-informed and ready to make an informed decision regarding their gender-affirming surgery.

As with any surgical procedure, the benefits and risks of vaginoplasty should be carefully considered, and open communication with the healthcare provider is crucial in making an informed decision that aligns with the individual’s goals and well-being.