Feminizing bottom surgery, also called gender affirming surgery (GAS), involves procedures that help better align the body with a person’s gender identity. Feminizing Bottom Surgery can involve removal of the testicles, or removal of the testicles and penis and the creation of a vagina, labia and clitoris. Facial procedures or body-contouring procedures can be used as well.
Vulvoplasty
Vulvoplasty is a gender-affirming, lower body surgery that creates the vulva (including mons, labia, clitoris, and urethral opening) and removal of penis, scrotum, and testes. Vulvoplasty means you may be able to stop or reduce testosterone blockers or reduce estrogen dose, be able to urinate sitting down and will no longer need to “tuck” genitals. Vulvoplasty is best for people who are not interested in the ability to have receptive vaginal sex or those who don’t want to, or are unable to, maintain the rigorous dilation & aftercare regime associated with vaginoplasty.
Vaginoplasty
Vaginoplasty is a gender-affirming, lower body surgery that creates a vagina and vulva and removes and inverts the erectile tissue (penis), gonads (testes) and external genital (scrotal sac). The goal is to have genitals with sexual sensation, a urethra that enables urination while sitting and a vagina capable of penetrative sex. You may be able to stop or reduce testosterone blockers or reduce estrogen dose after vaginoplasty.
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