A vaginectomy, or surgery to remove the vagina, is a procedure that is usually performed during phalloplasty or metoidioplasty. However, there are trans men who wish to have it performed during a hysterectomy.



A total vaginectomy is the surgical technique by which the vagina is completely removed. The aim of this procedure is to prevent the accumulation of vaginal secretions and possible diseases that may settle in the vagina. It is often performed during genital surgery, but can also be performed after a total hysterectomy

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    How to prepare for vaginectomy?

    Preparation for surgery is as important as recovery. Before undergoing a vaginoplasty, it is necessary to perform a blood test, evaluate your general health status and know your medical history.

    The doctor may recommend you stop taking any of your medications or supplements beforehand. It is required as well to avoid eating and drinking anything the night before the procedure. You will be admitted to the hospital on the same day as the vaginectomy operation.

    Postoperative period

    The IM Gender team will explain to you how to avoid possible complications after a vaginectomy and, should they occur, what to do. In case of any discomfort, doubts or uncertainties, you should consult the IM Gender patient care team or your referring surgeon. In addition, you will have a 24-hour phone number available to contact if necessary. It is very important not to skip any post-operative visits with a member of the IM Gender team to assess the progress of your recovery.

    As a general rule, once the patient has been discharged from hospital, they will be scheduled for the next visit, which will take place approximately three weeks after discharge from hospital (one month after the operation). The next medical check-ups will be approximately three months, six months and one year after the operation. At all times, the patient will have a post-operative support phone number available to answer any questions that may arise.


    Recovery is similar to other bottom surgeries. You may experience some pain during the first days after the surgical procedure. That is normal. The doctor will give you some medication to calm the symptoms.

    You should avoid to practice intense exercise and sexual relations during several weeks. As well you must maintain a healthy diet and a lifestyle free of alcohol and tobacco. Following the recommendations of your doctor is very important for a correct and quick recovery.


    The vaginectomy helps trans men and non-binary individuals to remove the vagina to get the gender with which they identify. As with any surgery, there is a risk of complications. It may include:

    • Bleeding.
    • Infection.
    • Urinary retention.
    • Vaginal fistula.

    However, today this surgery is increasingly safer. But it is important to follow all the recommendations provided by your doctor for a good recovery.


    Who can undergo a vaginectomy?

    Any trans/intersex person who has a vagina can undergo a vaginectomy. Before undergoing a vaginectomy, it is essential to consider all the options that suit the individual’s needs and state of health.

    What does the vaginectomy procedure consist of?

    The ultimate goal of a vaginectomy is total resection of the vaginal mucosa. You will be admitted to IM CLINIC on the same day as the operation. During the hours of admission, the relevant health checks will be carried out and the intestine and the area to be affected will be prepared for the operation.

    During the procedure you will be asleep and under the effects of anaesthesia to avoid feeling any pain. A total vaginectomy is usually performed at the same time as genital surgery. However, it can also be performed after a total hysterectomy, regardless of the route used for this surgery.

    Do I have to stay in the hospital after surgery?

    It is necessary to stay in the hospital after the vaginectomy, for a few days. The medical team will assist you and supervise your recovery during the postoperative period. So they will be able to monitor you and give you the medication you need to reduce the swelling and the risk of infection.

    Can I smoke after surgery?

    Your surgeon will recommend that you give up smoking. Tobacco and alcohol use can slow the recovery process. So it is important to have a healthy diet and lifestyle.

    IM GENDER team

    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.

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    Do you have any questions about vaginectomy?