Category Archives: male to female transgender surgery electrolysis

After male to female vaginoplasty, how many days should I stay in Miami?

Dr. Reed, After male to female vaginoplasty, how many days should I stay in Miami? Victoria

Dear Victoria,  Quick answer: at least 7 days.  Surgery is the “zero day”.  A good (cosmetic and functional) vaginoplasty result starts out with a lot of preparation.  Ask your surgeon for a detailed information packet describing all the details.  You will need 2 letters of therapy clearance based upon age of ideation, how long you have been living 24/7 as a woman, the remote possibility of remorse, emotionally stable personality, initial phone consultation with your surgeon.  Your age, height weight conformation, allergies, medical history, bleeding tendency, family or your personal history of reaction to anesthetic medications or fever with exercise may suggestion malignant hyperthermia potential.

About 6 weeks before surgery you will need some blood tests such as a CBC with platelet count, PT and PTT (or APTT).  Please stop estrogens one month before surgery as they are coagulopathic and stop testosterone blockers such as spironolactone 2 weeks before surgery.

Consider lower pubic hair, penile hair and scrotal hair removal by electrolysis or laser.

electrolysis diagram

Meet with your doctor well before surgery if possible and review informed consents and ask questions.  Best to be accompanied by a signification other or family member who ideally will be staying with you after surgery. Plan on a minimum on an overnight stay whether you are staying with us or at the hospital.  I will see you daily for a week.

On the third post op day, we will remove your outer dressing and you’ll have a chance to take a peek.  A fresh dressing will be applied.  Your drain is typically removed on the 5th post op day.  Take a pain pill about 1 hour before.  On the 7th day, we’ll see you at the office and remove your vaginal packing and show you how to use vaginal dilators.  That’s why it’s important to have a surrogate with you, to be sure you are inserting them properly.

Your urinary catheter comes out on the 12th post-op day.  You will need to use a ring pillow when you sit for weeks to avoid putting pressure directly on your incision lines.  You’ll be given emergency contact phone numbers for immediate access.

Please visit our web-site srsMiami/vaginoplasty (scroll down) for before and after vaginoplasty pictures


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


Male to female vaginoplasty picture (patient of Dr. Reed)


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

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