Hanna Gender Center

Trans Women

Male-to-Female (MTF) Vaginoplasty

Dr. Hanna offers male-to-female vaginoplasty for patients desiring a surgically created vagina. This procedure can be performed through a number of techniques depending on your desired outcome and anatomy. The goal of this procedure is to create a vagina with maximal depth and girth to achieve penetrative intercourse, all while maintaining an elegant appearance. 

What to Expect

While every surgeon has unique procedures for MTF vaginoplasty surgeries, Dr. Hanna generally DOES NOT require patients to undergo painful and expensive preoperative electrolysis or laser hair removal. Instead, he will remove all hair in the operating room as part of the surgery.  Post-operatively, Dr. Hanna and his staff will work closely with you to ensure you achieve and maintain the best results possible. We will provide easy-to-understand verbal and written instructions on caring for yourself post-operatively.

Vaginoplasty Techniques

Single Stage Penile Inversion

This is the gold standard of male-to-female vaginoplasty against which all others are compared. By utilizing a single perineal incision, scarring is minimized, while attaining a natural, and elegant appearance. You can expect to achieve an excellent outcome with maximum depth and girth, all while minimizing long term complications when compared to other approaches.

Zero-Depth Vaginoplasty/Vulvoplasty

Individuals who desire an outward appearing vagina without the desire for penetrative intercourse can elect to have a vulvoplasty or zero-depth vaginoplasty. This male-to-female procedure involves using existing genital tissue to create a clitoris, labia majora and minora. If preferred, a small vaginal and minimal depth vaginal canal can be created. These procedures typically require less maintenance than a complete vaginoplasty for long lasting results.

Robotic Peritoneal Vaginoplasty

This procedure utilizes a two-approach technique, one from several small abdominal incisions and one from the perineum. The lining of the lower abdomen is then tailored to suspend the neovaginal apex to create increased vaginal depth. Robotic and laparoscopic surgery are significantly more expensive than an open perineal approach and come with several intra-operative and post-operative complications including those typical of any abdominal surgery: bowel injury from abdominal entry, and pathologic fibrous bands also known as abdominal adhesions. This MTF vaginoplasty does not result in a self-lubricating vagina, and still requires patients to maintain a rigorous dilation schedule.

Bowel Interposition Vaginoplasty

This male-to-female procedure is performed by entering the abdomen with a midline abdominal incision or utilizing a minimally invasive approach and harvesting either sigmoid or right colon to augment the vaginal canal. While patients can expect to achieve adequate depth and girth, there are a few additional complications to be aware of: moderate term unpleasant odor from neovagina, bowel obstruction, and bowel injury.

During a vaginoplasty in our Dallas facility, Dr. Hanna and the team will ensure your desires and health are the focus of the surgery. Have more questions about MTF vaginoplasty surgery? Reach out to our team today.



Do you require laser hair removal before vaginoplasty?

No. We do not require you to undergo painful and expensive electrolysis or laser hair removal before surgery. Instead, during your procedure, your surgeon will remove the necessary hair while you are under anesthesia.

Can hair regrow inside the vagina after my vaginoplasty?

Yes, this can occur post vaginoplasty. However, it’s highly unlikely. If hair does regrow, the follicles are typically lighter in color, less abrasive, and fewer in number than previously.

If you experience hair regrowth, we are more than happy to ensure permanent removal using a fast and painless method in our office.

After vaginoplasty, will I still have sensation down below? Can I orgasm?

Yes, and yes! The clitoris is formed using existing genital tissue, so your erotic nerves are preserved. During penetrative intercourse, expect a pressure-like sensation. Orgasm will require sexual and physical stimulation, just as it did pre-surgery.