Category Archives: Vaginoplasty dilation

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)


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

Transgender orchiectomy before vaginoplasty

Dr. Reed, Will transgender orchiectomy before vaginoplasty lessen my likelihood to achieve a good vaginal depth result later on using the penile skin inversion technique?  How much is orchiectomy? Sandra Dear Sandra, In my opinion and experience, orchiectomy has no effect on using scrotal skin as an extension to inverted penile skin.  Doctors who use…Continue Reading

Male to female transgender vaginoplasty post-op care

Dr. Reed, What male to female transgender surgery post -op instructions do you provide for a smooth recovery? Cathy Dear Cathy, Anticipate staying in Miami for a good week after surgery, so I can remove the vaginal packing show you and a friend how to dilate.  You will need to dilate daily or wear a soft mold…Continue Reading

Would my mother be permitted to sit in on consultation?

Dr. Reed,  Am a 19 year old male to female transgendered woman.  My Mom would be financing the surgery and would like to pose some questions during the consultation.  Ilyana Dear Ilyana, Yes, also she is welcome as is any sponsor, significant other, family member.  Please understand that I will be asking some very personal questions…Continue Reading

Transgender male to female vagina function

Dr. Reed,  How does my male to female transgender vagina function?  Karen Dear Karen, Most male to female transgender patients anticipate sexual relations and being orgasmic. For that you need sufficient depth and preservation of the neurovascular bundle and a well formed neo-clitoris with glans (head of the clitoris) and body.  Anticipate some vaginal moisture which may…Continue Reading

Male to female surgery pictures help me better to understand

Dr. Reed, Male to female surgery pictures help me better to understand the alteration involved to be recognized as I view myself. How deep will I be?  Nyra Dear Nyra, Thank you for viewing male to female surgery pictures on our web-site We want both you and your intimates to be enthusiastic about your appearance.…Continue Reading

typical post op course after vaginoplasty

Dr. Reed, Please describe typical post op course after vaginoplasty. How long will I have to stay, will I have much pain, do stitches have to be removed and when. When can I return to work, when can I have sex? Lizette Dear Lizette, The smoothness of your vaginoplasty post-op course depends a lot on…Continue Reading

Had male to female vaginoplasty and only 2″ of depth. Help, please. Myra

Dr. Reed,  Had a male to female vaginoplasty 2 years ago and now my depth is only 2 inches.  Myra Dear Myra, We do male to female vaginoplasty revisions for vaginal depth several times a year.  If you had reasonably good depth after your surgery, but did not dilate a few times a day, or…Continue Reading

FAQ Will I be orgasmic after male to female transgender surgery? | The Reed Centre for Transgender Surgery

Dr. Reed, I enjoy orgasm and want to preserve that after male to female transgender vaginoplasty.  Is my expectation reasonable?  Ramilu Dear Ramilu, I have done about 3000 cases are all are orgasmic except 2 patients, one a diabetic in poor control the the other an inveterate smoker.  So we say “if you can play…Continue Reading