Trans Woman Bottom Surgery

ART Surgical and Dr. Angela Rodriguez provide gender-affirming care to trans women in San Francisco and across the country. Dr. Rodriguez meets with each patient to learn about their goals for trans woman bottom surgery.

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What is Bottom Surgery?

Trans woman bottom surgery is a term used for surgeries that change the genitals to match gender identity. For transgender women, this might involve vaginoplasty, zero depth vaginoplasty, vulvoplasty, penile inversion vaginoplasty, or labiaplasty/vaginal revision. There are also variations on most procedures, as the specific surgery depends on each individual’s goals and health. The goal of bottom surgery for trans women is to create harmony between a person’s body and their gender identity while improving self-confidence and self-image.

Types of Trans Women 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:

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:

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:

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.

Transgender Bottom Surgery Results

If you are considering bottom surgery, the ART Surgical team will help you choose a personalized set of procedures that align best with your goals. Keep in mind that bottom surgery procedures are major and permanent surgeries, and your body will need time to heal. Bottom surgery results may take several months to fully develop as swelling subsides. It’s essential to be patient during the healing process. Dr. Rodriguez guides her patients with aftercare instructions specific to each type of procedure.  If you’re interested in seeing photos of bottom surgery results, click below.

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A diverse group of joyful individuals arm in arm, sharing laughter and stories, set against a warm, patterned background. This image represents the vibrant community of Dr. Rodriguez's patients at ART Surgical, reflecting on their personal gender transformation experiences.

Patient Stories

Trans woman bottom surgery patients frequently report improved mental health and self-esteem. In addition, patients often report feeling more at ease with their sexual partners and in healthcare settings. While the physical aspects of these transformations are significant, the positive changes in our patients' confidence and outlook on life are both remarkable and inspiring. Dr. Rodriguez founded ART Surgical in San Francisco to provide compassionate and personalized transgender care. Hear from our patients who are on their way to becoming their true selves with Dr. Rodriguez by their side.

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To learn more about trans woman bottom surgery and how Dr. Angela Rodriguez and her team will guide you through the process, book a one-on-one consultation.