Category Archives: male to female transgender surgery electrolysis

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 and have this done at your office.


Dear Mercy,

In a natal adult female there is no hair over the clitoral area.  Pubic hair growing in the vagina can cause a tugging sensation which is to say the least unpleasant and may be distracting for your partner as well.  We believe when hair is removed have it one with local anesthesia so higher settings can be used and there will be less chance of a regrowth.

A good electrologist should be able to do it all in 3 sessions or less.  Anne at our office can often do it in 2 sessions. By all means do not tell you they can do scraping during surgery as this is often disappointing.  Below is a lady done in the Orient. She had scraping and hair is growing out of he vagina.  Ideally this should be done a few months before surgery so any hair regrowth can be appreciated and dealt with, but also to allow any inflammation associated with electrolysis to subside before surgery.  I will admit we have done this a few days before surgery, and personally I have not seen any ill effects.

You may also check with a transgender support group in your locale, and see if they can recommend anybody.  Please see our after vaginoplasty photos of patients who have had MTF vaginoplasty, no pubic hair in the vulva.

Hoping this is of help,

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

Note: No hair growing over the clitoral area, and none in the perianal area.


Pubic hair growing out of the vagina in a patient who had scraping done



Dr. Reed’s recommended electrolysis diagram.  Note a pathway 1 inch wide around
the base of the penis (top, sides and bottom) should be devoid of hair.

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

Seeking your affordable Male to Female vaginoplasty

Dear Dr. Reed, Thank you for sending me a packet of info on male to female sex change vaginoplasty.  After listening to your voice and your kind words I feel that you are the doctor for me.  I have obtained the records of the blood tests, EKG and summaries of the x-rays that were taken…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

Electrolysis in preparation for vaginoplasty Miami |Dr. Harold Reed

Dear Dr. Reed, Please advise regarding electrolysis for vaginoplasty  I ams scheduled for vaginoplasty with you in a few months.  As I mentioned depth is very important. Melissa Dear Melissa, It is possible to do a very thorough electrolysis in 2 to 3 sessions which conform to our electrolysis diagram…  see If you are…Continue Reading

Vaginoplasty male to female revision requested

Dear Dr. Reed, Had a vaginoplasty 4 years ago with another doctor and when I urinate the stream seems high, and I have to lean forward a lot to avoid hitting the toilet seat. Also the approach to by vagina seems elevated.  Is this easy to correct. Laurie Dear Laurie,  This is a familiar problem…Continue Reading