Primary Vaginoplasty

Vaginoplasty is the core gender-affirming procedure that constructs a vulva, clitoris, and, in most cases, a neovagina. This surgery is designed to create external genitalia that aligns with a feminine identity, allowing for self-affirmation, sexual function, and potential penetrative intercourse.

Part of a Full-Spectrum Plan

For many transfeminine and non-binary individuals, Vaginoplasty is a deeply personal and foundational step, often performed alongside or following other affirmation procedures as part of a multi-stage transition plan.

Our reconstructive urology and plastic surgery teams work in close collaboration to perform advanced vaginoplasty techniques that prioritize function, aesthetics, and sensitivity. Each procedure is customized to your anatomy and goals, using microsurgical precision to support healing and long-term results. Patients receive comprehensive guidance from preparation through recovery to ensure safety, comfort, and alignment every step of the way.

During the Procedure

Primary Vaginoplasty typically uses the penile inversion technique to create a vaginal canal, or a peritoneal/bowel graft if more tissue is needed, along with forming a clitoris (clitoroplasty) and labia (labiaplasty). Our microsurgeons use nerve coaptation to maximize sensation. The procedure is performed under general anesthesia and requires a short hospital stay to monitor healing and begin dilation training.

Risks and Recovery

Risks include scarring, infection, fistula formation, or neovaginal narrowing (stenosis), which we mitigate with advanced techniques and post-op care. Initial recovery takes 4-6 weeks, with full healing and dilation diligence continuing for many months. Our team provides close, long-term follow-up support.

Travel and Accommodations 

We proudly welcome patients from across the country. Our care team can help coordinate travel logistics and post-op lodging recommendations for out-of-town patients.

Insurance and Financial Planning

Our dedicated team will help secure approvals and walk you through every step of the process.

Additional Resources

Looking for more information? Visit our Patient Resource Center for checklists, videos, and peer stories to help you prepare for your treatment.