Vaginal aesthetics

Genital gender confirmation surgery has the goal of achieving female genitalia, not merely from a functional and anatomical viewpoint but also from an aesthetic one.

During the vaginoplasty operation (whether by penile inversion or a pedicled rectosigmoid flap), the surgeon will perform so-called “vaginal aesthetic surgery”, which consists of designing and constructing the labia minora, clitoris and a hood to cover the latter, as long as the patient has enough scrotal skin.

There are various reasons why the surgeon may decide to delay part or all of this surgery and undertake it after the vaginoplasty. In such cases, the second operation tends to be postponed for around three months, though it normally consists of small retouches performed under local anaesthesia without requiring hospital admission.