Bottom surgeries are performed to reconstruct the male genitalia into female genitalia. Transfeminine bottom surgery is generally performed as a single-stage process. Numerous techniques are used to do bottom surgery; the most common is the penile inversion vaginoplasty. Transgender women do Vaginoplasty, and transgender males do phalloplasty—gender affirmation surgery this done widely. The required criteria for this are: –

1. Well-documented gender dysphoria.

2. Ability to make an entire informed decision and to consent to treatment.

3. Twelve months of living in a gender role are congruent with gender identity.

In Vaginoplasty, the surgeons use skin from the individual's penis to construct the inner and outer walls of the vagina. Same for phalloplasty, the inner and outer wall of the newly made penis is built with the help of the vagina. The surgeons use skin from the penis to create the clitoris also.

 Procedure

  1. At first, the testicles are removed, and the skin and the shaft of the penis are removed from the penile tissue.

  2. This is then preserved and creates a new vagina.

  3. The small portion of the glans of the penis with corresponding nerves and blood vessels are dissected off the penile tissue and held for creating the clitoris.

 

 Benefits

  1. It provides excellent cosmetic results and an incredible sensation.

  2. It gives more penis length/vaginal depth options. The scars on the thighs from removing the flap are easier to hide.

  3. The latissimus dorsi flaps cause fewer scars. It offers the best potential for erection without any device.

  4. The urethra lengthening enables one to urinate while individuals.