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:
- Penectomy: A surgical procedure to remove the penis.
- Orchiectomy: A surgical procedure in which the testicles are removed.
- Urethroplasty: The reconstruction of the urethra to allow urination and a pink entrance to the vagina.
- 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.
- 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:
- Scar tissue
- Delayed wound healing
- Narrowed vagina
- Fistula formation
- 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
- 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.