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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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    • s.e. smith

    If you’re a little older, or you feel confident and ready to transition after being on blockers and your doctor thinks it’s reasonable to do so, you may start taking estrogen and an androgen blocker if your body would otherwise naturally produce testosterone. You may hear estrogen referred to as a “feminizing hormone” or “female hormone,” which is a term I dislike because you may not necessarily be taking it to achieve a “feminine” body if you’re nonbinary or otherwise gender nonconforming, and lots of people who aren’t women produce estrogen naturally. You can just call it estrogen!