The changes to transgender individuals’ genitalia depend on the type of gender-affirming surgeries they choose to undergo. Transgender individuals may undergo various surgical procedures to align their bodies with their gender identity. The two primary types of gender-affirming surgeries are:
- Male-to-Female (MTF) Surgery:
- Vaginoplasty: This is a surgical procedure that creates a neovagina using the penile skin or other tissue. It involves reshaping the genital area to resemble female genitalia, including the labia and clitoral hood.
- Orchiectomy: This procedure involves removing the testicles, reducing the production of testosterone, and facilitating feminization.
- Female-to-Male (FTM) Surgery:
- Phalloplasty: This is a complex procedure that constructs a neophallus using various donor tissues, such as skin grafts or forearm tissue. The neophallus is usually unable to achieve full erection or sensation.
- Metoidioplasty: This surgery releases the clitoral ligament to allow the clitoris to extend outward, creating a small phallus. It can be used for urinary function and may offer limited sexual function.
- Chest Surgery: FTM individuals may undergo chest surgery (mastectomy) to remove breast tissue and create a more masculine chest contour.
It’s essential to note that not all transgender individuals choose to undergo gender-affirming surgeries. Some may opt for hormone therapy, which involves taking hormones to develop secondary sex characteristics that align with their gender identity.
The decisions about which surgeries or treatments to pursue are highly individual and depend on personal preferences, medical considerations, and access to healthcare services. It is crucial to consult with qualified healthcare professionals experienced in transgender healthcare to discuss the available options and make informed decisions based on individual needs and desires.