Gender Affirmation Surgery (Vaginoplasty) for the Transgender Woman

Introduction

Vaginoplasty is a surgery that aims at creating a female vulva and vaginal canal in transgender women (individuals assigned male at birth who identify as women) seeking gender affirmation with genital surgery. The surgery involves deconstruction of the male external genitalia and creation of a neoclitoris, labia, vestibule, vagina, and urethra. The most commonly performed procedure is a modification of the penile inversion vaginoplasty. This procedure was first described in the 1950s by Drs. Gillies and Millard (1) and later popularized by George Borou, a French gynecologist who practiced in Casablanca (2).