Vulvoplasty: This creates a vulva, including the mons pubis, labia, clitoris, and urethral opening.The surgeon will also create a clitoris using a portion of the glans penis. Vaginoplasty: This involves removing the penis, testicles, and scrotum and creating a vaginal canal and labia.It can be a stand-alone procedure or occur during a vaginoplasty. Orchidectomy: This involves the removal of the testes.Three options for lower gender-affirming surgery for transgender women include: ![]() ![]() They may also need to use lubricant and take additional steps to protect against contracting sexually transmitted infections (STIs) during the healing process. If trans women choose to have lower gender-affirming surgery, they will need to wait until the surgical site heals before having sex.
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