Transgender vaginoplasty

Transgender genital surgery, also known as gender-affirming genital surgery, involves altering the genitals to match the gender identity of the individual. At our gender reassignment clinic, we specialise in three different techniques for transgender vaginoplasty, which include penile inversion vaginoplasty, penile inversion vaginoplasty with graft, and colovaginoplasty.

At IM GENDER, we understand that genital affirmation surgery is an important step for many transgender and non-binary individuals in their transition. That’s why we offer a range of surgical options to help our patients achieve the physical appearance that matches their gender identity.


At IM GENDER we have the tools and technology to carry out non-binary and transgender vaginoplasty. We also have the most experienced plastic surgeons and experts in genital surgery. We recognise the varied sexual preferences that transgender individuals may embody, which is why we also provide vulvoplasty, an alternative that offers the same aesthetics and sensitivity as vaginoplasty without the formation of a tunnel.

We also offer aftercare and support services, including follow-up appointments, physical therapy and counselling. Our goal is to ensure that you achieve the best results and feel confident with your body.

Transgender vaginoplasty results

At IM GENDER, we understand that knowing real cases of transgender vaginoplasty results is crucial before making any decision. In these images, you can see actual MTF vaginoplasty results of patients treated at our clinic.


At IM GENDER, we believe that a successful MTF vaginoplasty procedure is the result of a personalised and comprehensive approach. Our surgical team works closely with you to develop a customised treatment plan that takes into account your unique needs and goals. From preoperative consultations to postsurgical care, our staff is here to support and guide you throughout your entire transition process.

When a trans woman seeks genital affirmation surgery or vaginoplasty, the medical team must meticulously plan the operation, taking into account each woman’s needs, medical history, traits, and personal circumstances. Our team will assess the case by categorising it into one of the three main techniques outlined below to remove the penis and create a functional and aesthetical vagina.

    • Penile inversion vaginoplasty: This method is employed when the size, thickness, length, and quality of the penis’s skin allow for the creation of a vaginal canal with adequate width and size for regular sexual intercourse.
    • Colovaginoplasty: This vaginoplasty technique is utilised when the penis is small or has undergone significant circumcision before genital reconstruction. It is also carried out when penile development is limited due to hormonal inhibitors used during prepuberty. In these cases, the penile inversion technique is not advised, as the vaginal depth would be insufficient, preventing the trans woman from having satisfactory intercourse.
    • Penile inversion vaginoplasty with graft: When a trans woman’s penis does not have the appropriate dimensions for a successful penile inversion but does not require a colovaginoplasty, it is recommended to opt for a vaginoplasty with a skin graft. This approach provides the proper depth and dimensions for a vagina without resorting to the rectosigmoid flap technique.

Preparation before trans and non-binary vaginoplasty
Prior to undergoing transgender vaginoplasty, it is essential to prepare adequately, as this is just as important as postoperative care.

Having a blood test at least three months before the vaginoplasty procedure is strongly recommended. Furthermore, you should maintain a healthy diet and make sure your bowels are clean. Additionally, it is advised to abstain from alcohol, tobacco, or drug consumption one month before the surgery.

At IM GENDER, we acknowledge the importance of preserving hormonal treatment consistency in trans women. Therefore, oestrogen is not usually ceased prior to the operation. In the case of anti-androgens, like cyproterone, spironolactone, and triptorelin, it has been shown that stopping them is not required. As a result, these medications can be taken up until the procedure. Full discontinuation will take place one or two weeks following the transgender vaginoplasty.

When you consult your doctor, they will explain everything and address any concerns or questions that may arise. Prior to performing the transgender vaginoplasty surgery, the IM GENDER team will assess the suitability of the procedure for each individual, taking into account factors such as overall health, medical history, and exploring all available alternatives.


What is transgender vaginoplasty surgery?

Transgender vaginoplasty surgery, also known as male to female gender affirmation surgery, is a procedure that aims to create a vagina from the existing genital tissue, helping transgender women align their physical appearance with their gender identity. It has 3 main aims: aesthetics, sensitivity and functionality.

Who is a suitable candidate for trans vaginoplasty surgery?

A suitable candidate for this transgender genital surgery is someone who has been diagnosed with gender dysphoria, has completed a period of hormone therapy, and has received approval from mental health professionals. Additionally, they should be in good overall health, have realistic expectations, and understand the risks and benefits of the surgery.

How long is the recovery period after transgender vaginoplasty?

The recovery period after trans vaginoplasty surgery can vary, but patients typically spend a week or two in the hospital, followed by 4-6 weeks of at-home recovery. It’s important to follow postoperative period care instructions, including dilation and hygiene practices, to ensure optimal healing.

Is there sensitivity with MTF vaginoplasty?

During transgender and non-binary vaginoplasty, the surgeon aims to preserve as much of the existing genital tissue’s nerve structure as possible. This approach helps to retain clitoral and surrounding vulval sensation after the surgery. The overall extent of sensitivity may vary from person to person, and it can take time for nerves to heal and sensation to fully develop after surgery.



You will eat a normal diet after surgery. But it is important that it is rich in fiber, since the first days it is common for constipation to appear. If so, you can also take a laxative.

Urinary catheter

You will need to carry a urinary catheter for approximately 4/6 weeks. It is important to alternate the leg on which the tube will be attached each day.


You will have to do a relative rest, that is, you can take short walks, but you should avoid efforts and you should not overload your legs.


Dilation is the most important aspect of recovery. During the first month, it is necessary to perform a vaginal douche before each dilation.


You should avoid playing sports until recommended by your surgeon. Afterwards, the medical team will tell you what type of activity you can introduce.


It is very important you do not miss any visits after your surgery. The treatment will be personalised depending on each case and the technique used.


At IM GENDER we have been specialising in the care of transgender people for more than 20 years. Two decades of experience, professionalism, research and training endorse our medical team and staff.

Do you have questions about any genital affirmation surgery? Do you want to know the price of a MTF vaginoplasty?