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.

Ideal candidates are healthy transgender women who are confident in their decision to have the surgery. The best candidates are patients over 18 years of age that have a well-documented history of gender dysphoria and are fully committed to the procedure and their transition.

The typical cost for this procedure ranges from $15,000 -$30,000.The final cost depends on anesthesia fees, any necessary medical tests, the surgeon’s level of expertise and the geographic location of the procedure.

The procedure creates a new, functioning vagina. After the procedure, patients are required to spend 3-6 days at the clinic followed by 7-10 days of outpatient supervision.  Patients should refrain from any strenuous or vigorous activity for approximately 6 weeks. The use of a catheter is required for about a week after the surgery. It is recommended that patients use a graduated series of hard plastic stents to dilate the vagina for the first 6-12 months to maintain depth and diameter. The results can last a lifetime.

Gender Reassignment

Gender Reassignment

submitted on   Thu Jun, 25, 2015 by Sherman Leis, MD     
Gender reassignment surgery is known by a number of names...