Vaginoplasty is a gender-affirming surgical procedure in which male genitalia is reconstructed into female genitalia, complete with a vaginal vault, labia and a clitoris.

Penile Inversion Vaginoplasty is the most commonly performed type of MTF Vaginoplasty. The testicles are removed (Orchiectomy) and the scrotal skin is used to make labia majora (Labiaplasty). The nerves to the the sensitive glans penis and the corresponding skin is preserved and used to make a clitoris. The skin of the penis and, in most cases, skin grafts from the scrotum are used to make a vaginal vault. The urethra is shortened and placed in the female position. Sensitive urethral mucosa is placed in between the labia minora.

Penile Inversion Vaginoplasty is typically a one stage procedure, however, occasionally secondary procedures are preferred to maximize the aesthetic appearance of the vulva.

Permanent hair removal is required on the genital area prior to surgery.

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