Genital reassignment surgery alters male genitalia into female genitalia.

MTF Gender Confirmation

Erin Storm, PA-C

Definitive guide on MTF Gender Confirmation: Genital Construction, including the procedure overview, benefits, risks, recovery, before & after photos, costs, and more.

Gender Confirmation Surgeries

Chest Surgery for Transgender and Gender Nonconforming Individuals

MTF Gender Confirmation: Genital Construction

MTF Gender Reassignment Surgery cost generally ranges from $7,000 to $24,000. The actual cost of a surgical procedure will be dependent on location, surgeon, and length and involvement of the surgery.

Male to Female Gender Reassignment surgery is also known as Sex Reassignment Surgery (SRS), Genital Construction, and generally as Gender Confirmation Surgery. These procedures are used to remove and alter male genitalia into traditional female genitalia. Plastic surgeons will remove the scrotum, perform a penile inversion to create the neovagina, remove and alter penile erectile tissue to form the clitoral tissue of the clitoris, and construct labia usually from scrotal tissue. The prostate gland is left intact. These procedures create fully functional female genitalia in transgender patients.

Typically Gender Reassignment surgery is performed as a last step in a transgender individuals transition journey. Guidelines from The World Professional Association for Transgender Health (WPATH) state candidates must have letters of recommendation from their mental health provider and physician, have been living full time as a woman for one year, and have completed one year of hormonal therapy to be eligible.

MTF Gender Confirmation Solutions

Vagina

Groin

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- Prophylactic antibiotics or antivirals may be prescribed 
- Stop taking blood thinning medications two weeks prior to surgery. Blood thinners may include, Advil, Tylenol, Aspirin, and prescription anticoagulants 
- Stop smoking four weeks prior to the procedure and continue cessation for four weeks post op
- No alcohol two days prior to the procedure
- Do not eat or drink six hours before

Before Surgery

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- General anesthesia
- A penile inversion is performed to create the vaginal canal
- The scrotum is removed
- Skin grafts are used to create the labia and vulva
- Erectile tissue is removed from the new vaginal walls, and erectile tissue from the head of the penis is used to create the clitoris
- ​The urethra is shortened

During Surgery

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Immediately After Treatment

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- Resume most activities after a few days
- Swelling typically resolves within a few weeks
- Avoid strenuous activity for two to four weeks
- Remove urinary catheter and vaginal packing after one week
- Continue progressive vaginal dilation

1 - 30 After Treatment & Beyond

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- Results are permanent
- Proper aftercare will ensure optimal results

Result Notes

A MTF Gender Reassignment Surgery creates female genitalia. Here is a quick guide for what to expect before, during, and after a MTF Gender Reassignment Surgery:

As part of a transgender individual’s transition, genital reassignment surgery alters male genitalia into female genitalia.

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MTF Gender Confirmation: Genital Construction

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