Article

Trans Summer School: Vaginoplasty (also “bottom surgery”)

In vaginoplasty, which may require multiple surgeries, depending on the surgeon’s preference and your case, your existing genital tissue is creatively recycled into a vagina⁠, set of labia⁠, and a clitoris⁠. After vaginoplasty, you will be able to have vaginal intercourse⁠, you should be able to have orgasms, and your body will produce some lubrication. (Your surgeon may recommend the use of additional lubrication to protect your vagina from microtearing and other issues.)

You will need to stay in the hospital for several days following surgery, and you will be pretty uncomfortable — there’s a lot of packing and bandaging down there. Once your vagina has its grand opening, you’ll be directed in the use of dilators (also called stents), which look and work rather a lot like dildos — you’ll be gently inserting them, with plenty of lube, to keep your shiny new vagina open for business.

This section is part of a larger piece, Trans Summer School: The Wide World of Surgical Transition. To read the whole piece or another section, click here!

    Similar articles and advice

    Article
    • s.e. smith
    • Sam Wall

    For trans folks (and non-binary, genderqueer, agender, and all other gender non-conforming folks) gender expression can be a lot more tricky than it is for many cisgender people. How do you find clothing when many companies don’t acknowledge that people who are built like you exist? If you body doesn’t quite have all the bits you wish it did (or has some bits you really wish it didn’t), how can you present your body in a way that makes you feel like yourself?