Tgirl Transformation Penis To Vagina

Tgirl Transformation Penis To Vagina
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Transgender Health Program
Gender Affirmation Surgery

Vaginoplasty / Vulvoplasty

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Gender affirmation surgery for a transfemine person is sometimes called bottom surgery. These are three surgeries that can help a patient feel more aligned with their gender identity. They are:
During a vaginoplasty surgery, a surgeon creates both an outer and inner vagina by using skin and tissue from a penis.
During most vaginoplasties, your surgeon will use a skin graft to create a new vaginal canal (the inside wall of the vagina). To do this, your surgeon will take skin from your scrotum and thin it so it works well as a skin graft.
If there’s not enough skin from your scrotum to make your new vagina, then your surgeon can take extra skin from the sides of your abdomen where there won’t be a very noticeable scar.
To make your new vaginal canal, your surgeon will create a space between your rectum and bladder. Once your skin graft is inserted, your surgeon will place gauze or spongy material inside the new vaginal canal for 5 days. The gauze puts pressure on the skin graft so it grows like it should into the surrounding vaginal tissue.
Many transfeminine people wonder if they’ll still be able to have orgasms after having a vaginoplasty.
Your surgeon will use skin from your penis to create a clitoris. This clitoris still has feeling, and most transgender women can have orgasm through clitoral stimulation.
Patients are in the hospital for five days and mostly rest in bed. Resting will help your skin graft grow into the surrounding tissue in your vaginal canal.
Your surgeon will also place a compressive bandage on the outside of your vagina. After the outer and inner bandages are removed, most patients feel fine and can leave the hospital.
Each patient’s situation is different, but we recommend waiting two weeks after your surgery before you start dilating your vagina. Waiting two weeks will let your vagina heal.
Your surgeon will give you vaginal dilators to use at home. You should dilate your vagina two to three times each day for the first six months after your surgery.
There are several things that patients need to do before having a vaginoplasty.
Pursue hair reduction: The first thing you’ll need to do is have hair removal on your scrotum and lower penile skin. Your vaginoplasty surgeon will use this skin to create your new vaginal canal. If hair were to grow inside your new vagina, it would create hygiene problems.
Quit smoking: If you’re a smoker, it’s very important for you to quit. Smoking, vaping, or using any nicotine products decreases blood flow to the area around your genitals and will make it harder for you to heal after your surgery.
If you’re a recent smoker, we will give you a nicotine urine test to make sure you’ve been able to quit completely. Nicotine takes about a month to wash out of your system before the test results will be negative.
Weight considerations : Keep in mind that patients with a body mass index ( BMI *) greater than 35 are at a higher risk for wound healing problems and complications after surgery. However, we understand that BMI is not a perfect measure of your overall health. We will discuss how your weight may affect you and the potential benefits of losing weight before surgery. If our team decides that weight loss is the best pre-surgical option for you, we will refer you to our weight management program .
For some people, vaginoplasty or vulvoplasty may not be possible because of their body shape and weight.
Both before and after having a vaginoplasty, your surgeon will recommend that you start seeing a physical therapist. Physical therapy can help you prepare for this surgery.
The vulva is the outside part of the vagina. A vulvoplasty is a type of surgery that uses skin and tissue from a penis to create all of the outside parts of a vagina (except for the vaginal canal).
The steps of a vulvoplasty are the same as a vaginoplasty. During a vulvoplasty, your surgeon will:
The only thing that’s different between a full vaginoplasty and a vulvoplasty is the internal part of the vaginal canal.
After vulvoplasty, this means you won’t be able to have intercourse or insert a penis into your vagina.
A vulvoplasty has a much easier recovery. For example, you won’t need to dilate (or stretch) your vagina.
Another reason to consider vulvoplasty instead of vaginoplasty is because of medical problems or complications. One serious complication after vaginoplasty is called rectal injury. In some cases, a rectal injury can create a hole between your rectum and vagina.
But your chances of developing a rectal injury are much lower if you have a vulvoplasty instead of a vaginoplasty.
Some patients know that they’re not interested in having vaginal intercourse. For these patients, a vulvoplasty may be a better choice.
After a vulvoplasty, you can still have orgasms through clitoral stimulation, just like with vaginoplasty. During a vulvoplasty, your surgeon will create a clitoris from the glans or head of the penis.
Patients usually are in the hospital for 3 days after having a vulvoplasty. Your surgical team will give you a compressive dressing that reduces inflammation (swelling) after your surgery.
Most patients rest in bed while they’re healing since the dressing is uncomfortable to walk with.
After your dressing is removed, you can leave the hospital, usually right at about 3 days.
After a vaginoplasty, it's important to dilate your vagina at home to make sure your new vagina forms correctly. Read this instruction sheet on how to use a vaginal dilator.
"I definitely feel complete. I feel whole. But that doesn’t describe it… that doesn’t even begin to describe it,” beams Josie Jesse as she sits, finally comfortable, in her new body that reflects who she has always been.
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Thanks to Pascale from France for finding these photos of Dr.
Burou.
[They are from a July 1970 "National Police Gazette" article
(a U.S. men's magazine).]

עברית
(Hebrew),
Nederlands
(in progress) ,
This page sketches the historical development
and surgical details of vaginoplasty surgery (also often called 'sex
reassignment surgery' (SRS) or 'gender reassignment surgery' (GRS )). Before reading this page, please read the introduction
to the concepts of gender identity, transgenderism and transexualism
elsewhere in this website, so that you'll understand why transsexual women
undergo these operations. This page clarifies that post-operative MtF
transsexual
women really do have female genitalia, and will also help readers visualize
some of the ordeals trans women endure
to achieve their new physical gender status.
4A -WEDNESDAY MAY 24, 2000 - USA TODAY
Sex-Change nickname makes
Colo. town cringe: 'Nobody cares'
Transformation via surgery has
become common in community
By Pauline Arrillaga
The Associated Press
TRINIDAD, Colo. - The young waitress examined her customers
as she refilled their coffee and haltingly asked whether anyone
wanted more tea.
There was Elise, a buxom brunette in a crop top and hip-huggers.
Kate, a Harvard graduate writer in khakis, hand-knit sweater
and pearl earrings. Thea, a graphics designer sporting chic suede
boots. And Jackie, a towering figure in trousers and blazer.
In the lunchtime crowd of merchants, housewives and farmers
at the Main Street Bakery and Cafe, the four stuck out like fashion
models on a pig farm.
Retreating to the kitchen, the waitress pulled her boss aside
and stammered, "Those women I'm waiting on? They're men!"
Hardly anyone else gave the foursome a second glance. Not
in the so-called "Sex-Change Capital of the World."
Repeat that phrase to, almost any of the town's 9,500 people
and one would likely get a lecture on what the southern Colorado
hamlet should be known for - its idyllic scenery, comfortable
climate and friendly people.
Most don't mind that more sex-change operations have been
done in their town than anywhere else (about 4,500 to date);
they just hate that nickname.
"Nobody cares," says Monica Violante, owner of the
Main Street Bakery. "It's just a part of Trinidad."
Although no formal statistics are kept on the number of sex
reassignment surgeries, experts in the field agree that Trinidad's
Stanley Biber - because of the year he began and his age - has
performed more than anyone.
The International Foundation for Gender Education lists 14
surgeons in the USA and Canada that do the procedure, and, as
spokeswoman Sara Herwig points out, "Biber's been doing
it longer than most."
What makes Trinidad unique is not that it's the sex-change
capital of the world, but the fact that this former mining town
has come to accept its destiny, depend on it and even embrace
it.
In 1969, Trinidad was a town in transition. Coal had been
king in these parts since the turn of the century, but after
World War II, the mines began closing. By the late '60s, only
a few remained.
Families left, and Main Street, once a bustling collection
of. department stores, car dealerships and restaurants, became
a lifeless shell of shuttered storefronts.
Yet Biber was thriving from his fourth-floor office inside
the First National Bank building.
As Trinidad's-s only general surgeon, Biber did it all - from
delivering babies and removing appendixes to reconstructing the
cleft palates of poor children.
Biber moved here in 1954 after serving as a MASH surgeon in
Korea and finishing a stint at Camp Carson in Colorado Springs.
In those first 15 years, Biber built a comfortable life around
a practice he loved and a town he adored. In 1969, he encountered
the patient who would forever change both.
A social Worker Biber had met asked him to perform her surgery.
"Well, of course," he told her. "What do you want
done?"
"I'm a transsexual," she replied. And Biber asked,
"What is that?"
After consulting a New York physician who had done sex reassignment
operations and obtaining hand-drawn sketches from Johns Hopkins
University, Biber agreed to do the surgery. "She was very
happy," he recalls. "And then it started spreading
all over."
With less than a handful of doctors performing the procedure,
Trinidad became THE place to come for a sex-change operation,
and Biber was THE man to do it.
The town's sole hospital, Mt. San Rafael, was run by Catholic
nuns, and Biber hid the charts of his first transsexual patients.
But he knew he'd eventually need the approval of the hospital
board and his neighbors. Biber explained his Work to the sisters
and local ministers.
I went through the psychology of it all. They decided as long
as we were doing a service and it was a good service, that there
was no reason we couldn't continue doing them," he says.

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