Category Archives: Vaginoplasty

Transgender woman wants to restore vaginal depth

Dear Dr. Reed,  Had a vaginoplasty about 3 years ago and could dilate to about 5 1/2 inches (second from the last dot).  I didn’t realize how important vaginal dilation was, became somewhat asexual, an now my depth is about 3 to 4 inches at best.  Any suggestions. Brittni

Dear Brittni,

Dilation 3 times a day after vaginoplasty or wearing a soft mold for several hours
is so important..If you re-establish proper vaginal dilating techniques, you might be able to regain most of the lost depth.  I had  a patient who was coming to me for a work list of revision items, and old me she was 4 inches and wished to go much higher.  About one week before surgery, she called an said the surgery is on, but the is no need to do a vaginal depth procedure because she is now at 6 inches. She accomplished this with aggressive dilation.  If you are not sure of what you are doing, best to see transgender surgeon who can show you, and best a friend exactly what to do.  Having a friend monitor you is very helpful initially.

Also you may consider anesthetic creams and perhaps intravaginal estrogen all prescribed by a knowledgeable transgender surgeon who will follow your progress.  There are many surgical options for vaginal depot including a skin graft, colonic vaginoplasty, the Vecchietti procedure which employs an olive boogie and an abdominal ratchet used to draw the olive inwards, and last but no least, a graft-less approach that we have employed with good results.  See:

Aesthetic Plast Surg. 2015 Oct;39(5):733-44. doi: 10.1007/s00266-015-0523-7. Epub 2015 Jul 11.

Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related Procedures by Harold Reed et al


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


Vagnial dilation is the way to maintain and build upon vaginal depth (all patients of Dr. Reed)_




Want to keep my penis but can you add a vagina

Dear Dr. Reed, Would you be able to add a vagina (do a vaginoplasty) without altering my male genitalia? I want to keep my penis.  Matt Dear Matt,  While technically it is possible to create a vaginal space in the perineal area, the place between the under side of your scrotum and anus, I have…Continue Reading

I Am Jazz TLC Season 3 | Dr. Harold Reed | Miami

Dear Dr. Reed, Saw you on I Am Jazz, Season 3.  I am  27 and have not been on Gonadotrophic release GHRH (agonists) blockers  such as Supprelin or Androcur.  I have a fairly normal adult sized penis and have been on estrogens for 4 years.  Time for below the waist male to female gender reassignment surgery.…Continue Reading

Had vaginoplasty and lost depth, what now

Dear Dr. Reed,  Had a male to female sex change vaginoplasty 3 years ago in New York and for some reason my vagina seems to high and is not easy for my boyfriend to enter.  Rita Dear Rita,  Restoring vaginal depth after vaginoplasty is a frequent request. The medical term is vaginal atresia.  One issue you…Continue Reading

Orgasm after orchiectomy

Dr. Reed,  Will an orchiectomy affect my ability to have orgasm.  Am 27 year old transgendered woman who has not had below the waist surgery.  Lisette Dear Lisette,  We have done about 4000 transsexual orchiectomy (ies), many in associate with vaginoplasty and all patients who have been followed except 2 report they are still orgasmic.  One…Continue Reading

Had prior vaginoplasty and has lost depth

Dear Dr. Reed, Have vaginal atresia. I am trying to call the office there and I have tried a couple of different phones but for some reason you guys can’t hear me. I am calling from the UK, not had a problem international before so not sure what is happening. You guys probably think I…Continue Reading

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…Continue Reading

How important is pubic and scrotal hair removal before vaginoplasty

Dr. Reed, I am concerned about the added cost and delay of hair removal before my transgender vaginoplasty.  Otherwise ready to schedule in right now. Do you prefer laser or electrolysis? Nelda Dear Nelda, Please have hair removal done before vaginoplasty surgery.  Tugging on pubic hair in your vagina during sex is not pleasant, and…Continue Reading

Do you accept Medicare for MTF transgender surgery?

Dr. Reed, Will you accept Medicare for my MTF vaginoplasty? Have been living as a woman for 8 years 24/7.  I am 5′ 8″ and weigh 165 pounds.  Mention this because we spoke 2 years ago and you said I’d be a better surgical candidate if I lost some weight.  Then was 180. Alicia Dear…Continue Reading

My insurance pays for out of state transgender surgery

Dr. Reed,  I am 21 and somewhat discouraged because my doctor who was supposed to do my transgender vaginoplasty is not returning phone calls and answers my Emails very slowly.  I am thinking he is no longer enthusiastic about doing my surgery.  I have my 2 letters and electrolysis performed pretty much as suggestions on…Continue Reading