What is Gender Confirmation Surgery?

Gender confirmation surgery, also known as sex reassignment surgery (SRS), is a surgical procedure that alters a transgender person’s physical appearance and function of their existing sexual characteristics in order to resemble that which is socially associated with their identified gender. It is part of a treatment for gender dysphoria in transgender people.

Male to female (MTF) gender confirmation surgery involves the following procedures:

  1. Penectomy: A surgical procedure to remove the penis.
  2. Orchiectomy: A surgical procedure in which the testicles are removed.
  3. Urethroplasty: The reconstruction of the urethra to allow urination and a pink entrance to the vagina.
  4. Clitoroplasty: A portion of the penis will be used to make a clitoris with part of the head of the penis, leaving artery vein and nerve intact.
  5. Vaginoplasty – A pouch is created that will accept a skin graft and the penile shaft skin to function as s vagina.

Who Would be a Good Candidate for This Procedure?

Patients that have initiated and meet WPATH criteria for this irreversible surgery and are medically cleared to proceed.

How Do I Prepare for the Procedure?

  • Candidates should have an affiliation with provider that follows WPATH criteria
  • Obtain the appropriate letters
  • Laser or electrolysis hair removal

What will the procedure change/correct/accomplish?

Male-to-Female gender confirmation surgery will:

  • Provide a functional vagina.
  • Allow urination in the seated position.
  • Allow orgasm to be maintained.
  • Create a working vagina that accepts a penis with a clitoris that allows for orgasm.

What has the success rate been for the procedure?

95 % of patients maintain the ability to experience full orgasm.

What are the Potential Risks/Complications/Side effects?

Following the procedure, the following are common:

  • Bleeding
  • Infection
  • Scar tissue
  • Delayed wound healing
  • Narrowed vagina
  • Fistula formation
  • Transfusion
  • Pain
  • Blood clot

Will I go home the same day, or will I need to spend the night at the hospital?

Patients typically stay in the hospital for 2-4 days.

How Long is the Recovery?

Recovery is typically 2 weeks initially, but it can take up to 3 months to fully recover.

The following are common in a patient’s recovery:

  • 1-2 weeks with vaginal packing and urethral catheter
  • Pain
  • Swelling
  • Discoloration
  • Ability to start dilating 1-2 weeks after surgery
  • Intercourse at 3 months.

When will I be able to resume normal activities?

Patients typically are able to resume routine daily activities in 2-4 weeks, and have sex at 3 months.