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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!

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    • Mo Ranyart

    I’m sorry to hear that things have been so strained between you and your girlfriend when it comes to your transition. Gender transition is a pretty intense experience; a good thing for you, to be sure, but it’s still full of a lot of changes in a relatively short period of time. And it can be tough…