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Surgical Procedure

Male to female sex reassignment surgery is done under general anesthesia and takes 5-6 hours of surgery. If desired by the patient, we can also perform a breast augmentation with silicon implants. Adams apple reduction is in the same procedure possible.

We prefer to perform all surgeries in one stage:
The surgery is comprised of the following steps:

  • Orchidectomy (removal of the testes)
  • Creating a neo-vagina with a penile skin island flap
  • creating a sensitive neoclitoris out of the glans
  • Creating the labia majora out of the scrotum
  • Shortening the urethra
  • Extirpation of the corpora cavernosa
  • Creating a mons pubis
  • If desired augmentation of the breasts
  • Reduction of the adams apple