MTF vaginoplasty

Genital affirmation surgery, also known as genital confirmation or genital reassignment surgery (or even more popularly referred to as “gender change”), can be perfomed under different techniques that allow the genitals to be adapted to the gender of the transgender person.

In transgender women, there are 3 different vaginoplasty techniques available such as penile inversion vaginoplasty, vaginoplasty by grafting and colovaginoplasty.

What is MTF vaginoplasty?

This surgical procedure comprises a set of techniques that allow the genitalia to be adapted to the gender of the transgender person.
In trans women, it includes a variety of vaginoplasty techniques. We find different types of MTF vaginoplasty: penile inversion vaginoplasty, vaginoplasty by grafting and colovaginoplasty.


    Types of MTF vaginoplasty

    Vaginoplasty is a technique that some patients request to complete the gender affirmation surgery. It is not a required or a must do surgery in female transsexuality.

    When a trans woman requests genital affirmation surgery or vaginoplasty, the medical team must plan the surgery carefully, considering the needs, medical history, characteristics and personal circumstances of every single woman. The team will evaluate the case by classifying it into three main techniques described below to remove the penis and achieve a functional and aesthetically complete vagina.


    Penile inversion vaginoplasty is performed when the size, thickness, length and quality of the penis skin allows to make a vaginal tunnel of sufficient width and size to have regular sexual intercourse.


    We use this technique when the penis is small or when there has been a major circumcision prior to genital reconstruction. It is also performed when there is a lack of penile development as a result of hormonal inhibitors used during the pre-puberty stage. In that case, the penile inversion technique is not recommended, as the vaginal depth would be too shallow and would not allow the trans woman to have a satisfactory intercourse.


    When a trans woman does not have the right dimensions penis for a successful penile inversion, but does not require a colovaginoplasty, she can choose to have what is known as vaginoplasty with graft, which gives a vagina the right depth and dimensions without having to use the rectosigmoid flap technique.

    FAQS about MTF vaginoplasty

    What is MTF vaginoplasty?

    It is a surgery that is especially intended for those people who suffer from gender dysphoria, that is, those whose sexual identity differs from the sex assigned at birth. MTF vaginoplasty manages to create a vagina from scratch from penile tissues, or even through a colon graft. Thanks to this surgery, transgender women can have the body that improve their quality of life and their emotional well-being.

    What is the result after a MTF vaginoplasty?

    Thanks to MTF vaginoplasty, the appearance of a natural vagina is achieved with which you can urinate. Depending on what type of trans vaginoplasty technique is carried out, sexual penetration will even be possible. However, it is not possible in all cases. The case must be studied personally to choose the most appropriate surgical technique for the patient.

    Will I be able to have children after undergoing a MTF vaginoplasty?

    If you are going to undergo a MTF vaginoplasty, you can consider the option of storing sperm – sperm cryopreservation – before having this surgery, in case you wish to have children.

    How should I prepare for a MTF vaginoplasty operation?

    The surgeon will inform you about how to prepare for the operation before it in detail. In addition, there are important previous steps that will be carried out before MTF vaginoplasty, such as performing medical tests and check-ups, reviewing family health history, reviewing vaccinations, etc. When you visit the doctor, everything will be explained to you and any doubts that may arise will be clarified.

    Does MTF vaginoplasty require hospital admission?

    Yes, you will be admitted one day before undergoing the operation at IM Clínic. During that day, all the relevant tests and a bowel cleansing will be carried out, through the consumption of laxatives and antibiotics. Performing intestinal cleansing is essential due to the proximity between the intestine and the new vagina that will be created. After the operation, you will have to stay in the clinic for at least a week so that the surgeon can follow your evolution and provide you with the necessary care for your complete recovery.

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