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
    • Jocelyn Anderson

    I know that isn’t news to anyone, but I think we forget that sometimes when trying to help our friends or family members who are going through it. We expect them to act “rationally,” like we would, or like we want them to.

    But sexual assault is traumatic, and making decisions during and after trauma is complicated. Decisions about who to talk to - the police, a healthcare provider, a friend, a teacher - can feel incredibly complicated. Are they going to believe me? Are they going to listen to me? Are they going to call the police even though I don’t want that? What is going to happen next?