Male to Female Vaginoplasty in Mumbai

What is Vaginoplasty?

Vaginoplasty is a gender-affirming surgery that creates a functional and aesthetically natural-looking vagina for transgender women and non-binary individuals. The procedure reshapes existing genital tissue to form a vaginal canal, labia, and clitoral structures, allowing for both cosmetic and functional results.

Why Choose Vaginoplasty?

Vaginoplasty can provide:

  • Physical alignment with gender identity – Enhancing body confidence and mental well-being.
  • Sexual function – The creation of a functional vaginal canal that allows for penetrative intercourse.
  • Relief from gender dysphoria – Helping individuals feel more comfortable in their bodies.

Am I Ready for Vaginoplasty?

Physical Readiness
  • Have you undergone hormone therapy (if required by your medical team) and lived in your gender identity for a recommended period?
  • Are you in good general health with no medical conditions that could increase surgical risks or delay healing?
  • Have you maintained a stable weight and stopped smoking to improve recovery outcomes?
Emotional Readiness
  • Are you prepared for the physical and emotional changes this surgery will bring?
  • Do you have realistic expectations regarding the outcome, healing time, and post-operative care?
  • Have you discussed your mental and emotional well-being with a therapist or support system?

Your Surgical Options

There are several techniques used in vaginoplasty, and the best option depends on your anatomy, preferences, and medical history.

1. Penile Inversion Vaginoplasty
  • The most commonly performed technique.
  • The skin of the penis is used to create the vaginal lining.
  • The scrotal skin can be used to construct the labia.
  • A clitoris is created using the glans penis, ensuring erotic sensation.
2. Intestinal Vaginoplasty
  • A segment of the colon or small intestine is used to create the vaginal canal.
  • Suitable for patients who lack enough penile or scrotal skin.
  • Provides a self-lubricating vaginal lining.
3. Scrotal Skin Vaginoplasty
  • Utilises scrotal skin to create a deeper vaginal canal when penile skin is insufficient.
  • Often combined with other techniques for optimal results.
Additional Feminisation Procedures

Some individuals choose to undergo additional feminisation procedures alongside vaginoplasty, such as:

  • Labiaplasty – Enhancing the external genital appearance.
  • Clitoroplasty – Creating a functional and sensitive clitoris.
  • Perineoplasty – Refining the perineal area for a natural look.

What Happens During the Vaginoplasty Procedure?

Consultation
  • A detailed discussion with your surgeon regarding expectations, surgical options, and potential risks.
  • A medical examination to determine whether you are fit for surgery.
Anaesthesia

The surgery is performed under general anaesthesia to ensure a pain-free experience.

Surgical Steps
  1. Removal or repositioning of existing genital structures to create a vaginal canal and external genitalia.
  2. Clitoroplasty to form a sensitive clitoris.
  3. Labiaplasty to shape the outer and inner labia.
  4. Vaginal canal depth is established based on available tissue and surgical technique.
Duration

The procedure typically takes 4-6 hours, depending on the chosen technique.

Recovery: Understanding the Healing Process

Initial Healing (First 6-8 Weeks)
  • Swelling and discomfort are expected but gradually subside.
  • Patients must follow post-operative care instructions carefully to prevent complications.
  • Limited physical activity is recommended to allow proper healing.
Using Dilators
  • Vaginal dilation is essential to maintain canal depth and prevent closure.
  • Initially, dilation is required multiple times a day, gradually decreasing over time.
Ongoing Care
  • Long-term vaginal maintenance involves continued dilation and follow-ups with your surgeon.
  • Regular check-ups ensure proper healing and functionality.

Benefits of Vaginoplasty

  • Gender affirmation – Aligning physical appearance with gender identity.
  • Improved confidence – Reducing gender dysphoria and increasing self-esteem.
  • Sexual function – Creating a sensitive clitoris and a functional vaginal canal.
  • Permanent results – The procedure offers a long-lasting solution for transgender women.
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Frequently Asked Questions

Will I be able to feel sensation after vaginoplasty?

Yes, clitoral sensation is preserved, and some individuals regain additional sensitivity over time.

Vaginal depth varies based on surgical technique and individual anatomy, but typical depth ranges from 4-6 inches.

Initial recovery takes about 6-8 weeks, but full healing and adaptation can take up to a year.

Yes, oestrogen therapy is usually continued to maintain overall feminisation and vaginal health.

Some patients opt for revision procedures to refine aesthetics or improve functionality.