Category Archives: Before and after transgender vaginoplasty pictures

How soon can I expect changes with transgender bilateral orchiectomy?

How soon can I expect feminizing changes after bilateral orchiectomy?  Brittani

Dear Brittani,

The changes which occur assuming proper doses of estrogens (serum estrogen of about 125 to 150 pg/ml) are known and reported in WPATH version VII based on work by endocrinologist Dr. Hembree. Usually patients who schedule in with us for orchiectomy should have a history of living as a woman for 2 years assisted by intake of estrogens for that time. The value of orchiectomy is to reduce scrotal mass, reduce estrogen intake and discontinue spironolactone or cyproterone acetate both having adverse side effects.  For spironolactone that could include dehydration and for cyproterone acetate, liver dysfunction.

We performed bilateral transgender orchiectomy via a midline scrotal incision  under local anesthesia with IV sedation.  To reduce scrotal size and avoid the palpable “tootsie roll” effect of a retained spermatic cord, the testis and cord are removed.   Allow 3 days to a week of convalescence before returning to an office environment.

Please visit for before and after pictures of male to female surgery

Cordially, and Happy and Healthy New Year,

Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Miami


My insurance may not cover MTF bottom surgery

Dr. Reed,  My insurance may not cover transgender MTF bottom surgery.  Any suggestions? Lana Dear Lana,  Several ideas.  First call Anne at the office on Tuesday January 2nd for a vaginoplasty compassionate price quote.  Next consider enlisting a sponsor to help you.  50% of our patients come in with sponsors.  Could be a family member, spouse,…Continue Reading

MTF bottom surgery, what may I expect

Dr. Reed, Am a transgender woman seeking MTF bottom surgery. What may I expect (preparation, cost, afterwards).  Aiesha Dear Aiesha, MTF transgender bottom surgery preparation usually includes living as a woman 24/7 for 2 years and typically on hormones (estrogens and testosterone blockers) for that period of time as well.  You must be a surgical…Continue Reading

With male to female transgender vaginoplasty, can I expect orgasm

Dr. Reed, Have seen your pictures of male to female transgender vaginoplasty. Can you maintain my capability for transgender orgasm. Veronica Dear Veronica, Thank you for viewing pictures of male to female transgender vaginoplasty on our web-site  We have done over 2000 cases and all of our patients except 2 have been orgasmic.  The exceptions was an inveterate…Continue Reading

How Male to Female Sex Reassignment Surgery Really Works …

Dr. Reed, How does male to female sex reassignment surgery really work?  Ashley Dear Ashley, In today’s world we no longer say “sex reassignment”, rather the term gender confirmation surgery or gender affirmation is more favored.  Gender confirmation surgery works when it is functional.  If you’re having a male to female vaginoplasty, you should be orgasmic…Continue Reading

typical post op course after vaginoplasty

Dr. Reed, Please describe typical post op course after vaginoplasty. How long will I have to stay, will I have much pain, do stitches have to be removed and when. When can I return to work, when can I have sex? Lizette Dear Lizette, The smoothness of your vaginoplasty post-op course depends a lot on…Continue Reading