Category Archives: Electrolysis before Vaginoplasty

Do I need electrolysis for Transgender vaginoplasty?

Dr. Reed,  Am contemplating having a male to female transgender vagionoplasty this January.  Do I need electrolysis or laser down below. What about scraping.  Lauren

Dear Lauren,

Best to have pubic hair removal by electrolysis or laser starting a few months before transgender vaginoplasty, as some hair may grow back and that will require a touch up.  Another reason to get this out of the way, is to avoid inflammation or irritation of skin that’s going to be in the surgical area.  May impair wound healing.

Our experience seeing patients who have had scraping during surgery is that at times, hair grows back, resulting in unpleasant tugging sensation during coitus.  When the hair is inside the vagina it is more difficult to remove later on versus being on the surface.

Laser does not work on blond hair, although there is medication to darken the hair, I would consider electrolysis. Electrolysis tends to be less expensive than laser.  If in the hands of a good electrologist, usually 3 sessions will do it.

Also advised is local anesthesia so higher settings can be used. If you look at pictures of natal; women, there is no hair growing over the clitoral body or on the labia minora.


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


Natal female pubis and vulva showing no hair over clitoral body


Transgender vaginoplasty electrolysis diagram


Pubic hair growing out of transgender vagina, patient had scraping during surgery

Should I have hair removal (laser or electrolysis) before MTF sex change vaginoplasty?

Dr. Reed,  Seeking guidance on MTF vaginoplasty electrolysis.   I live in Minnesota and have difficulty finding someone who will do below the waist hair removal. I know you feel this is important.  If you can send me a diagram, That could be helpful.  If not, should I make a special trip out to you…Continue Reading

How important is pubic and scrotal hair removal before vaginoplasty

Dr. Reed, I am concerned about the added cost and delay of hair removal before my transgender vaginoplasty.  Otherwise ready to schedule in right now. Do you prefer laser or electrolysis? Nelda Dear Nelda, Please have hair removal done before vaginoplasty surgery.  Tugging on pubic hair in your vagina during sex is not pleasant, and…Continue Reading

Long work list and disappointment following vaginoplasty

Dear Dr. Reed, Had a vaginoplasty elsewhere about 7 months ago and post-op had a hematoma on the left side.  The skin over it, became frail and sloughed off.  At this time I do not have a clitoris, nor is that area erogenous.  Can induce orgasm after 20 to 25 minutes working much lower. The…Continue Reading

Is electrolysis or laser necessary for sex change MTF vaginoplasty?

Dr. Reed, Do you advise electrolysis or laser to remove genital hair before vaginoplasty.  How about so called scraping during surgery? Lisa Dear Lisa, We absolutely recommend hair removal, ideally several weeks before feminizing vaginoplasty as some hair will grow back.  This will require a touch-up.  Our preference is for electrolysis with local anesthesia.  This permits…Continue Reading

Electrolysis suggestions in preparing for transsexual MTF vaginoplasty

Would you be kind enough to comment on electrolysis versus laser and where this needs to be done and how soon before transgender MTF vaginoplasty.  I am a natural blond.  Karen Dear Karen, Generally speaking laser doesn’t work well on blonds.  An electrolysis diagram can be found on our webiste  Ideally you should get…Continue Reading

Hair removal for feminizing MTF vaginoplasty

Dear Dr. Reed, Am contemplating having a Male to Female Vaginoplasty with you this December.  What advice can you give me regarding hair removal (electrolysis) on the penis and scrotum. Sharon Dear Sharon, We certainly do recommend all hair on the penile shaft and scrotum be removed, as well as some hair in the perineum,…Continue Reading

Electrolysis before Vaginoplasty | Dr. Harold Reed | Miami

  Dr. Reed, Do you require electrolysis before vaginoplasty? Kelly Dear Kelly, Yes, we recommend electrolysis before vaginoplasty as hair growing in the vagina is not fun during sex (pulling on hair hurts). I know some doctors say they can scrape the hair, but attached is a photo of a patient done in Thailand where hair…Continue Reading