The animated video, uploaded to Vimeo by the European Association of Urology, lays out the process of removing a person’s penis and testicles and forming a vagina. And it. Is. Fascinating.
From start to finish, here's how surgeons perform the procedure:
- The scrotum is cut down the middle, and each testicle is removed.
- The skin of the penis is cut and pushed to the base.
- The head of the penis is sliced (but not fully removed) and pulled back, and the inside of the penis is removed.
- The penile skin is inverted, and incisions are made to create a clitoris and urethral opening.
- The head of the penis is reduced to the size of a clitoris and reinserted.
- A vaginal opening is formed by inverting the area where the scrotum used to be.
- Skin from the scrotum is used to create labia.
Research has shown that most patients are able to have a healthy sex life after sex reassignment surgery (also known as gender confirmation surgery) and can even orgasm.
Gender confirmation surgery is just one step in the process of
transitioning from a man to a woman, however—there’s counseling, breast
augmentation surgery, hormone therapy, and more involved. The surgery,
if elected, is usually one of the final steps.
There is also a similar surgery available for transgender men, in which a small penis is typically constructed by stretching out the clitoris.
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