This type of surgery is typically done on an outpatient basis. Identification and management, if needed, of tobacco use, drug use, alcohol use disorder, Discussion about birth control, fertility and sexual function, The impact of gender identity at work, at school, at home and in social settings, The role of social transitioning and hormone therapy before surgery, Risky behaviors, such as substance use or use of unapproved hormone therapy or supplements, Support from family, friends and caregivers, Care planning and follow-up after surgery, Moving the hairline to create a smaller forehead, Enlarging the lips and cheekbones with implants, Undergoing skin-tightening surgery after bone reduction. Your surgeon talks with you about your options and the potential results. Kindle edition. Because of this, unlike many other post-op trans women, my vagina can self-lubricate thanks to the preservation of certain secretory glands around the urethral and vaginal opening. He is a member of WPATH (World Professional Association for Transgender Health), and has presented his work at multiple scientific and transgender-specific meetings. Having a support system is vital to your continued health both right after surgery and long term. Gallbladder Surgery Recovery: What to Expect, Transgender Surgery: What to Expect on the Day of Surgery, Breast Reduction vs. Top Surgery: Uses, Benefits, Side Effects, and More, Hemorrhoidectomy Recovery: Timeline, Home Care, and What to Expect, Panniculectomy Surgery: Procedure and Recovery, Trapeziectomy: Everything You Need to Know, What to Know About Big Toe Bone Spur Surgery (Cheilectomy), Facial Feminization Surgery: Everything You Need to Know, Herniorrhaphy: What to Expect with Hernia Repair Surgery, Gender confirmation surgery: an update for the primary care provider, Gender affirmation (confirmation) or sex reassignment surgery, Facial feminization surgery to make masculine facial features more feminine, Transfeminine top surgery to change and enhance the breasts to make the chest look more feminine, Transfeminine bottom surgery to remove male genitalia and reconstruct them into female genitalia, Facial masculinization surgery to make feminine facial features more masculine, Transmasculine top surgery to remove the breasts and make the chest look more masculine, Transmasculine bottom surgery to change the female genitalia into male genitalia, Discuss any problems you may be experiencing after surgery, Determine if you need any follow-up procedures, To rearrange your home or surroundings so they are more comfortable, Over-the-counter and prescription medications, Coping mechanisms during the recovery process, How you feel about the surgery and its results, If you want to do more surgeries to transition, Any regrets or other negative and positive feelings, Concerns about passing as the gender after surgery, Telling others about the surgery and your transition, Reactions from others to the surgery and transition process, The impact the surgery and transition is having on your relationships, Concerns about discrimination and harassment, Other stresses or problems you may be experiencing, Avoiding bathing or showering until your healthcare provider approves, Washing your hands with soap and water before dressing the wound, Applying doctor-approved ointments or creams to the wound, Avoiding exposure to the sun while you heal, Looking at the wound every day for signs of an infection, New redness, swelling, bleeding, or pain in the wound area, New drainage or pus coming from the wound that is green, yellow, or tan, The area around the wound feels hot to the touch, You have a fever of 100.5 F (38 C) or more. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. It seems strange now to think that this isnt the body I was born into. When I feel the right parts between my legs, most of the time I dont feel euphoric, but I feel OK, and after a lifetime of agonizing incongruity between my body and brain, just feeling OK is absolutely priceless. In any eventuality, Dr. Davis is committed to stay in close touch, especially during the early post-operative period when healing well is essential, and during a time when patient's are getting acquainted with their new anatomy. Gender-Affirming Surgeries Penn Plastic Surgery, in collaboration with specialists across the health care system, offer the following gender-affirming surgical procedures: Bilateral mastectomy with chest reconstruction, also known as "top surgery" or transmasculine reconstruction. Post-gender-affirming surgery, patients can return home, to short-term accommodations with a friend, family member, or trained attendant, or plastic surgery recovery hotel. Talk to your healthcare provider about the timeline and when you can expect to return to work and normal activities. Home Before & After Graphic Content Ahead Due to the nature of the surgery, the images you'll see are explicit in nature. One thing I expected after the surgery, but which nothing could have prepared me for, was the bleeding that I experienced after the gauze was removed. The urethra is shortened and placed in its correct anatomic position, residual surrounding urethral tissue is excised, and a fourchette is created at the inferior aspect of the vaginal orifice. It can cost $50,000 or more to undergo GCS in Australia, and for plenty of trans people for whom rates of poverty and unemployment are significantly higher than the national average even the $20,000 I paid (half of which my parents covered) is out of reach. The dilators have dots or markers that measure depth. (https://www.researchgate.net/publication/316690679_Surgical_Satisfaction_Quality_of_Life_and_Their_Association_After_Gender_Affirming_Surgery_A_Follow-up_Study). Rather, the images capture the symbolic transformation of the surgery. Everyone has their own story. Transitioning later in life support groups, Introduction to FTM, FTN, MTF and MTN Top Surgery. Gender affirmation surgeries, also known as gender confirmation surgeries, are performed by a multispecialty team that typically includes board-certified plastic surgeons. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Criteria for Vaginoplasty Vulvoplasty in Transfeminine Patients Persistent, well documented gender dysphoria; If your schedule at work creates challenges, ask your health care team if some of your dilation sessions can be done overnight. 2016;1(1):32-40. doi:10.1089/trgh.2015.0006. Surgical readiness referral letters from mental health providers documenting their assessment and evaluation. These can irritate the vagina. It will make your phone call more productive if you have these documents ready to discuss with the clinician: After the intake interview you will need to submit the following documents: After your intake, and once you have all of your required documentation submitted you will be scheduled for a surgical consultation.