MTF bottom surgery, usually a vaginoplasty, reshapes existing genital tissue to create a vulva and vaginal canal. The most common method, penile inversion, uses penile and scrotal skin to form the vaginal lining, labia and clitoris, preserving sensation. It is done under general anaesthetic in a single operation, followed by a structured recovery and a lifelong dilation routine that is most intensive early on.
What the surgery does
In a penile inversion vaginoplasty, the surgeon uses penile and scrotal skin to construct the vaginal lining and the external vulva, including labia and a clitoris formed from sensate tissue, so erogenous sensation is preserved. The testes are removed and the urethra is shortened and repositioned. The aim is a natural-looking, functional result.
The main techniques
Penile inversion is the standard approach. Peritoneal pull-through (PPV) supplements the lining with tissue from the abdominal cavity and is often chosen for depth and natural lubrication. A sigmoid (colon) technique uses a bowel segment, sometimes when there is limited skin or for revision. Which is right depends on your anatomy and goals, and is decided with your surgeon.
Recovery and dilation
Expect several nights in hospital and a multi-week recovery before returning to normal activity. Dilation, gently maintaining the depth and width of the canal with a medical dilator, is a routine part of aftercare: frequent in the early weeks, then gradually less often, continuing long term. Your surgical team gives you a clear schedule and supports you through it.
Frequently asked questions
Will I keep sexual sensation?
Is dilation forever?
How long until I can travel home?
Coordinating this in Thailand
We coordinate MTF vaginoplasty at vetted Thai hospitals, matching you to the right technique and surgeon and supporting your recovery. See the vaginoplasty page and indicative pricing, or start a free consultation.
Sources
This article is general information, not medical advice. Eligibility, surgical techniques, recovery and prices vary by individual and are confirmed only at consultation with the surgeon. Surgical outcomes are not guaranteed.