Category Archives: Transsexual surgery

Will Orchiectomy limit my ability to have MTF vaginoplasty depth

Dr. Reed,  I cannot afford a vaginoplasty now but would like an orchiectomy.  I am a 24 year old transgendered woman.  Been living 24/7 as a woman for 5 years.  Have 2 letters of therapy clearance, so I’m ready to go. Sarah

Dear Sarah,

We do about 3 orchiectomies a week along with several vaginoplasties every month.  While there may be some shrinkage of your scrotum, in that most likely your testicles are somewhat atrophic from estrogens, be assured there will be plenty of scrotum to provide additional vaginal depth if needed.  As a rule your potential depth is your height in feet which translate into inches and your height in inches above that which translates into a fraction over 12.  So if you are 5 feet 6 inches tall, anticipate a depth of 5″ plus 6/12 or 5 1/2 inches.

Determining how much skin is available from your penile shaft must take into account whether or not you are circumcised as we use foreskin as well.  Your total penile shaft skin length minus 2 inches (to wrap around the pubic bone) will suggest whether or not we need to do a scrotal graft add-on.

In Thailand they may use scrotal skin entirely for the vaginal vault, but most doctors in the US and Europe do use penile skin.  As you know this skin is erogenously sensate which is a good thing.


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

Scrotal graft extension adding an additional 3 3/4″ of length to inverted penile skin


Is my clitoris too high

Dr. Reed, Is there such a thing as a Clitoroplasty?  Had a Transgender Vaginoplasty 3 years ago and although orgasmic, always thought that maybe clitoris should be lower.  Can this be corrected? Madeline Dear Madeline, Reviewed your photos and please see some of our results on  Whereas a penis is an infrapubic structure, the…Continue Reading

Male to Female Vaginal Surgery More Financial Assistance Needed| Harold Reed M.D. | Miami

Dear Dr. Reed, If you can do surgery for $4000, I’ll just squeak by.  What do you say?  You’ l  make a friend for life. Chevi, Dear Chevi, Yes.  We have spoken and I am touched by your sincerity and sensibilities.  Remember you need some contingency funds for travel, room supplies, anesthesia, and the possibility…Continue Reading

Male to Female Vaginal Surgery Financial Assistance| Harold Reed M.D. | Miami

Dear Dr. Reed,  My therapist has recommended you becasue of your Vaginiplasty Promotion in Miami.  She has know a few patient you have done and who were happy with their edxperience.  To the point, what can you do for me.  Chevi   Dear Chevi, Every patient who considers us  is an opportunity to provide the…Continue Reading

Vaginoplasty Financial Assistance. Help needed. Grant?

Dear Dr. Reed,  Need financial help for vaginoplasty.  What can you do?   Web support groups say you are compassionate. Brenda Dear Brenda, Yes, you have a dream, we have a mission.  Please Email the office and receive a letter entitled “Mallory” telling what is needed to qualify as a surgical patient. Safety both in the operating…Continue Reading

I want an MTF vagina that can be approached front or back

Natasha. I like creative positions and I thinks this makes sex more fun and we both get a chance to rest some before going on to new kinky highs.   Natasha,  think no further.  Here are some example of our vaginoplasties before and after photos sure to get you boyfriend’s blood pumping… Harold M. Reed, Transgender…Continue Reading

FAQ | Dr. Harold Reed M.D. | Male to Female

Dear Dr. Reed, Please send me a copy of the informative letter you have on how to get ready for vaginoplasty male to female. Do you have any availabilities before June, 2016. I have had 2 friends done by you.  How long do I have to stay in Miami after surgery, and is your promotion…Continue Reading

Need a charitable orchiectomy

Dear Dr. Reed, I’ve been living 24/7 as a woman for 5 years, saw a county therpaist initially and she says she’ll write a letter for me. I have a friend who’ll drive me to Miami and stay with me for a few days.  Yes, I am shoppong around.  What can you do for me.…Continue Reading

Neo-clitoris sensation, will I be orgasmic

Dear Dr. Reed, In anticipation of my MTF surgery, do you believe I’ll still be orgasmic? Frances Good morning and Merry Christmas Frances, Our experience is that all but 2 patients had sensation in the clitoral area.  One patient called me at 3 AM 2 months after surgery to say, “Dr. Reed, I just had…Continue Reading