Category Archives: Therapy letter for male to female vaginoplasty

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)


Male to female orchiectomy preparation

Dr. Reed,  How do I prepare for transgender (male to female) orchiectomy?  Darlene Dear Darlene, Yes, we do orchiectomy for women such as yourself and also removal of the scrotum if you so wish. The advantages are reduction of estrogens by about 1/3rd and avoidance of testosterone blockers such as Spironolactone, Yes, we do high…Continue Reading

Transgender woman looking for breast implants

Dr. Reed, I am a transgender woman looking for breast implants.  Should I do this before male to female transgender vaginoplasty?  Darlene Dear Darlene, The choice is yours.  We do Transgender male to female breast augmentation (breast implants) and we do one stage male to female transgender vaginoplasty.  Of interest only half of the patients who…Continue Reading

Gender reassignment surgery (FAQ) therapy letters

Dr. Reed, What should a therapy letter for gender reassignment surgery state?  Mattie Dear Mattie, You will need 2 letters of therapy clearance, and at least one of the therapists must have a doctoral degree. If need be, we can arrange for therapy evaluation in the greater Miami area.  Some of our therapists can evaluate…Continue Reading

How long do I have to be on female hormones to have a MTF vaginoplasty?

Dr. Reed,  I have been a transgender woman for 7 years and my therapist says I may need to be on female hormones for a year before I can have sex change vaginoplasty.  Thus far I have not taken hormones because I pass very well, and to be perfectly honest they’re costly.   Lolita Dear Lolita,…Continue Reading

Will you do my orchi now and will this affect my vaginoplasty depth later on? | The Reed Centre | Miami

Dr. Reed,  I am 35 years old, been living as a transgender woman for a good 12 years and am ready to have the transgender orchiectomy.  Have seen 2 transgender therapists and they could write the letters you are seeking.  Please tell me again what the letters should say? Lisa Dear Lisa, We do several…Continue Reading

Looking for a therapist to write my letters

Dr. Reed, I have been a trans-gendered woman for 6 years and pass very well.  Have no ambiguities about my transition as I have felt this way since childhood.  Can you recommend a transgender savy therapist in Wisconsin?  Once I have my letters I’d like to schedule in with you for a MTF vaginoplasty at the…Continue Reading

I am a transgendered woman but am seeking just orchiectomy and scrotal removal at this time

Dear Dr. Reed,  I am 60 year old transgendered woman and have been passable as a woman for 5 years.  I’d like to stop the Spironolactone and reduce the estrogens because of my age. So what I am seeking is just an orchiectomy and scrotal removal. Would you consider that?  Reneeka Dear Reneeka, We do…Continue Reading

Letters of therapy clearance for my male to female sex change vaginoplasty

Dr. Reed,  What exactly are you looking for in  a letter from my therapist approvijng me for MTF vaginoplastyy?  Nahomy Dear Nahomy, Thank you for your continued interest in what we do. We are follow the former guidelines of WPATH, World Professional Association for Transgender Health. For orchiectomy or feminizing vaginoplasty which is irreversible surgery, we…Continue Reading