Neovagina is a new vagina (vaginoplasty) created in a Gender Confirming Surgery (GCS) for transgender women (MTF). It can be performed as penile inversion, rectosigmoid and non-penile inversion. The standard procedure is penile inversion surgery where an incision is made in the area between the rectum, urethra and the prostate to form a tunnel. The walls of the tunnel are lined with skin from the scrotum, penis or both. Additional skin can be taken from the thighs or abdomen. The tunnel forms the vaginal walls, the glands form the clit and the scrotum becomes the labia majora. The lining of the excess urethra creates the labia minora.