How Male to Female Sex Reassignment Surgery Really Works …

Dr. Reed, How does male to female sex reassignment surgery really work?  Ashley

Dear Ashley,

In today’s world we no longer say “sex reassignment”, rather the term gender confirmation surgery or gender affirmation is more favored.  Gender confirmation surgery works when it is functional.  If you’re having a male to female vaginoplasty, you should be orgasmic and penetrable.

Cosmetically, you should look like a natal female.  To be sure, the likelihood of remorse or regret is very low, we ask that you live 24/7 as a woman for 2 years, unless there is a very plausible exception (my children at home would not understand or appreciate, or my place of work will sever my pension program).  You will need 2 letters of therapy clearance written by therapists experienced in evaluating transgender clients, and we ask that one letter is written by a therapist with a doctoral degree.  Age of ideation (when you first started to think of yourself as a woman) is also important.

Male to female vaginoplasty works best when performed by an experienced transgender surgeon, and the patient is compliant with following preparation and post-operative instructions.

Male to female vaginoplasty pictures can be seen on our web-site (scroll down).


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

Example #5: Male to Female Transsexual Surgery Recent 2nd stage labiaplasty with correct anatomical spacing between clitoris, urethral meatus (opening) and vagina.

Male to Female Vaginoplasty picture (patient of Dr. Reed)

Example #4: Male to Female Transsexual Surgery Early Post Op. Anticipate labia minora will become more delicate and posterior fourchette will be more confluent over next few months. Patient already fully orgasmic.

Male to Female Vaginoplasty picture (patient of Dr. Reed)


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