Genital Gender Affirming Surgery

Am Surg. 2022 Dec;88(12):2817-2822. doi: 10.1177/00031348221109479. Epub 2022 Jun 28.

Abstract

Genital gender affirming surgery is an effective treatment for gender dysphoria in transgender individuals. Optimization of medical and mental health conditions, including coordination with a patient's entire care team, is essential. Feminizing procedures include vaginoplasty (creation of female genitalia with a vaginal canal) and vulvoplasty (creation of female genitalia with a short or absent vaginal canal). Masculinizing procedures include metoidioplasty (construction of male genitals via local tissue rearrangement) and phalloplasty (creation of a phallus from extra-genital tissue). We aim to provide an overview of genital gender affirming surgery for providers who are interested in learning more about genital gender affirming surgery.

Keywords: Plastic Surgery; gender affirming surgery; phalloplasty; urology; vaginoplasty.

MeSH terms

  • Female
  • Gender Dysphoria* / surgery
  • Gynecologic Surgical Procedures
  • Humans
  • Male
  • Sex Reassignment Surgery* / methods
  • Transgender Persons*
  • Vagina / surgery