Category Archives: One stage MTF sex change vaginoplasty

Transgender vaginal depth, how to restore

Dr. Reed, Am a transgendered woman and had expectations of a deep and functional vagina.  While I had been instructed to dilate daily or wear a soft mold, I was not very consistent. What are the options now?  Narabeth

Dear Narabeth,

Vaginal depth is a given for intimacy.  Be of good cheer as there may be non-operative ways to restore your depth, especially with use of estrogen creams, numbing creams, a complete set of small to larger vaginal stents, lot of patience, motivation, and a consistent and persistent dilation schedule.

If you are contemplating vaginoplasty revision surgery, there are 3 different approaches: A. re-opening the space and insertion of a skin graft, a non-grafted approach, or revision with a colonic vagina.  Our favored approach is non-grafted vaginoplasty.

What to expect.  It takes about 6 to 8 weeks for skin to re-epithelial the space.  As with primary penile skin inversion vaginoplasty, the packing is removed in a week and then you’ll be introduced to a safe and effective dilating technique.  Best to have a friend or loved one with you and who can see what we are doing in the office and listen to cautionary guidance as how to avoid a vaginal-rectal fistula.

Please visit our web-site for before and after pictures of vaginoplasty and vaginoplasty revisions.


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


Male to female chest surgery, priority in transition?

Dr. Reed, When do you advise I have breast implants done.  I am have been living full time as a woman for 5 years and have been on estrogens for most of that time.   Cherishma Dear Cherishma, The choice is yours.  If you’ve been on estrogens for 4 to 5 years, your breast size has…Continue Reading

How does your one-stage male to female vaginoplasty differ from colonic vaginoplasty?

Dr. Reed,  How does your one-stage male to female vaginoplasty differ from colonic vaginoplasty? Deshondra Dear Deshondra, The concept of one-stage vaginoplasty is that you have an acceptably cosmetuic and functional rwesult with labia minor and majora, and a hooded clitoris. Colonic vaginas tend to be red in appearance.  Redder sometimes than your inner cheek. The…Continue Reading

What is meant by one-stage vaginoplasty?

One stage vaginoplasty is a term applicable to male to female transgender vaginoplasty where the result includes provision of a neo-clitoris, moist vulva using urethral eversion, a penetrable vagina, labia majora, and labia minora protrusion, all in one session..  Yes, revision may still be necessary, but for a patient who desires gender confirmation surgery, and wishes to…Continue Reading

Can you do me at the hospital to save on male to female gender vaginoplasty

Dr. Reed, Can you give me a special price if your hospital will accept my Medicare.  Heard about you from a friend who received a compassionate discount, from our fee posted on  If you do me, you can post my male to female vaginoplasty pictures on your web-site.  Louise Dear Louise, Yes, we would…Continue Reading

My friend said you now do Transgender Vaginoplasty in one Stage

Dr. Reed, Earlier you said you were doing transgender vaginoplasty in 2 stages.  Do you think you’ll be doing the one-stage transgender vaginoplasty soon?  Myra Dear Myra, We have been doing one stage transgender vaginoplasty for several months.  I agree for many reasons, this makes a lot of sense.  As with any vaginoplasty your responsibility…Continue Reading

Transgender $8,500 promo (FAQ) | Dr. Harold M. Reed | The Reed Centre for Transgender Surgery

Dear Dr. Reed,  Is your procedure a one stage transgender vaginoplasty approach and will I have vaginal moisture or be lubricated down there?   Cynthia Dear Cynthia,  Yes, for the past 6 months we have been attempting to do all transgender vaginoplasty surgery in one-stage.  That means clitoral hood and closure of the anterior commissure.  So…Continue Reading

Male to Female Sex Change vaginoplasty

Dr. Reed,  My friend has told me about your offer to do Male to Female Sex Change vaginoplasty for $8,500 including anesthesia and facility fee?  Is this true and how long will this offer last and how may I get some more information.  Dorita Dear Dorita, The offer was opened about a week ago to help…Continue Reading

Do you do one stage MTF vaginoplasty

Dr. Reed,  I am a transgendered woman and live in Oklahoma.  I am hoping you can do a so called one stage vaginoplasty.  Your fees are very affordable but getting time off from work requires some planning, and of course there’s the cost savings. Nancy Dear Nancy, Last year we have shifted to one stage…Continue Reading