Aesthetic and Functional Male to Female Genital and Perineal Surgery: Feminizing Vaginoplasty

TLDR

Male‑to‑female transsexuals often pursue feminizing vaginoplasty to achieve a lower‑body appearance, reinforce sexual identity, and improve sexual function. The study reports on the author’s experience with 250 primary feminizing vaginoplasty procedures, detailing patient selection, adherence to WPATH standards, pre‑operative assessment, surgical technique, postoperative care, and management of risks and complications. The outcomes indicate that careful, selective application of feminizing vaginoplasty is feasible and safe.

Abstract

Male to female transsexuals frequently seek feminizing vaginoplasty for "below the waist" conformation, enhancement of sexual identity, and interactive sexual function. The author shares his experience with his first 250 primary surgical procedures. Included is a brief historical background, the patient selection process, some guidelines from the World Professional Association for Transgender Health (standards of care), preoperative evaluation and instructions, surgical technique, postoperative regimen, risk factors, results, complications and management. The patients all underwent feminizing vaginoplasty at the author's ambulatory surgical facility, which includes an overnight stay. The author's results suggest that feminizing vaginoplasty when performed vigilantly on a select group of patients is feasible.