Category Archives: One stage vaginoplasty procedure

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)


Any vaginoplasty Valentine’s Day promotions?, need some financial help

Dr. Reed, Wednesday the 14rth is coming up soon.  I’ve been a transgendered woman for 7 years, have my letters and need some financial help to achieve gender confirmation surgery.  My family is supporting me.  Just a few thousand shy of your published price.  Aisha Dear Aisha, Of course, the Reed Centre will provide a…Continue Reading

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…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

Happy patient sends us after male to female transgender surgery picture | The Reed Centre for Transgender Surgery

Dr.  Reed, One year ago you did my male to female transgender vaginoplasty.  Here is a selfie, and yes you can post this on your web-site. Camilla Dear Camilla, Thank you ever so much for your thoughtful Email which we do indeed treasure.  With your kind permission we have added your vaginoplasty picture to our…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