Male-to-female gender reassignment involves two operations on the external genitalia: Removal of the penis and the creation of a new vagina canal. If you are interested in additional procedures this is a list of possible surgeries:
- Breast Implants
- Adam’s apple shaving
- Voice Change
- Mandible angle reduction (Jaw line reduction)
- Cheek implants
- Hair Transplants
- Forehead (brow) Lift
- Rhinoplasty (Nose reshaping/reduction)
- Alarplasty (reduction of nostril size)
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Please note that the need for additional procedures is unique to every patient. It depends on the individual’s appearance and desires and should be decided in consultation with the surgeon.
In order to be a candidate for sex change surgery you must meet the requirements
below:
1. Provide a certificate from a licensed psychologist stating that you are a suitable
candidate for sex change surgery.
2. Provide a medical certificate stating that you are healthy and fit to undergo
surgery.
3. Provide documentation (prescriptions or other documentation) that you have
been taking hormones for at least 1 year.
Who is a candidate for male to female sex change? |
Individuals suffering from gender identity disorder are candidates for gender reassignment surgery. If you are a male, who have lived your life as woman for several years then you are a candidate for a male to female sex change operation. It is a requirement that anyone interested in gender reassignment surgery must have passed a psychological test. Therefore, we kindly ask you to send us a certificate from a licensed psychologist to certify that you are a candidate for gender reassignment.
Before surgery
After you have passed a psychological evaluation, you should also make the following preparations:
- Have a physical examination by a doctor. Provide us with the physical examination as well as your medical records from your General Practitioner.
- Stop taking hormones at least 2 weeks before the surgery.
- Stop smoking and drinking at least 2 weeks before surgery
- Eat only soft diet at least 2-3 days before the surgery to decrease the fiber in the intestine and to lessen excretion.
During the pre-surgery consultation, the surgeon will guide you through every step of the procedure. Here you can also discuss any additional procedures you may be interested in.
The surgery
The surgery takes approximately 4-8 hours. The procedure begins with the surgeon creating the vaginal cavity between rectum and the urethra by cutting some of the pelvic floor muscles to insert the neo-vagina. The surgeon then makes an incision to open the penis. The urethra is shortened and re-routed to emerge lower, just above the new vaginal opening. After the vaginal cavity is created, the surgeon cuts the scrotal skin to removes the testicles. The scrotal skin including the surrounding tissue is then used to construct the external genitalia such as labia minora and labia majora to create a neo-vagina similar to the biological female genitalia. The surgeon uses the “Penile Inversion Vaginoplasty” technique which turns the penile skin inside out to line the vaginal wall. This technique limits the depth of the vagina depending on the amount of the penile skin available. In patients with short or small penis or who have had circumcision, the surgeon uses the scrotal skin graft in conjunction with the penile skin to increase the vaginal depth, usually 6-7 inches. The surgeon then constructs the clitoris by retaining a small section of the glans penis with its blood supply and nerves intact, since the nerves of the glans penis is analogous to the nerves of the clitoris in female. This is then positioned above the urethral meatus. At the same time the labia minora is created using part of glans penis and prepuce skin.
After surgery
After the surgery, the patient will be under the surgeon’s close supervision and he will inform you of everything you need to know. The following post-operative care guidelines should be observed:
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