Trans Woman Bottom Surgery

Transgender vaginoplasty is a procedure that creates a functional neovagina. It can be an important step on the journey of gender affirmation for transgender women. The surgery involves removing the penis and reshaping the genital tissues to form the neovagina. The procedure also includes the creation of a clitoris and labia, contributing to a more feminine appearance.

Minimal depth vaginoplasty is a procedure that closely resembles traditional vaginoplasty. The key difference is the construction of a shallow vaginal canal. This option may be more suitable for certain patients based on their unique needs, including not wanting a full-depth vaginal canal. Some individuals opt for minimal-depth vaginoplasty because they have no interest in engaging in vaginal intercourse or they prefer not to, or are unable to commit to, lifelong dilation.

Zero-depth vaginoplasty is another option that focuses on external genitals. This procedure uses tissues from the penis and scrotum to construct a fully-functional adult vulva without the creation of a vaginal canal. This gender-affirming surgery provides individuals with their desired physical appearance without the need for internal restructuring.

Penile inversion vaginoplasty differs from traditional vaginoplasty because it uses a different technique to create the vaginal canal and vulva. The surgeon creates a neo-vagina by cutting the area between the rectum and urethra. The interior of the tunnel is lined with skin from the scrotum, penis, or both. Penile inversion vaginoplasty is a commonly used gender-affirming method. As with other vaginoplasty options, surgery type is determined through careful consultation between the patient and their doctor to make sure that all goals are met.