Sex Change (SRS)

    Method of payment and Money exchange     

• The 90% balance of your package price should be prepared to pay in only cash (US Dollar or Euro or Australian Dollar cash), this is the most convenient way to settle your remaining fee at the clinic.
    
• In case you don't want to bring much money, you can transfer your full balance (exclude the bank service for wire transfer) to my bank account 2 weeks before departure.
    
• We do not accept any cahier checks or money orders.
   
    

• All cases are done under general anesthesia.
• The position is set in standard lithotomy. Before the operation starts, the silicone-made cushion is used to support the weight bearing area (back and buttock).
• The perineal skin flap is designed in proper shape and size and will finally be joined with the inverted penile flap for vaginal opening reconsturction.
• The vaginal opening and space are created below the urethra (urinary tube) and the prostate gland. After passing the prostate capsule at 4 inches depth, the plane become loose and the direction will be a downward slant to the recto-vescicle pouch. The depth of this newly created space normally 6-7 inches, or even more in some cases depends on the anatomy of individuals.
• Bilateral orchidectomy (removal of testes and spermatic cord)
• The inverted skin flap from the penis is used for the skin lining of neovagina. In this step,   the scrotal skin graft will be routinely added for the additional depth.
• The penis shaft is removed except some small parts of the gland penis and its sensory nerves and vessels for constructing the sensate clitoris.
• The urethral opening is centrally located above introitus (vaginal opening) and the urethral mucosal set between the clitoris and urethral opening can simulate the pink wet vulva mucosa.
• A portion of the glans (head of the penis), with its nerves and vessels, is converted into
  a clitoris. In so do, the clitoris will be functional in sensation as well as in appearance.        
• The excess erectile tissue around the urethra should be removed in order to avoid symptoms that stem from engorged erectile tissue during sexual arousal, that may
  result in the narrowing of the vaginal opening.
• The inner labias are simulataneously made from the prepuce flaps (pink-colour skin attached to the gland penis), which are long enough to cover the neoclitoris, urethral and upper part of vaginal opening. However, thinner lip appearance of the inner labia can be done later at the labiaplasty stage.
• A vaginal packing is placed inside the neovagina for 5 days.

    a. Sensate Glans- Clitoris
    b. Neourethra
    c. Vulva Floor
    d. Labia major and minor
    e. Neovagina of 5-6 inches (Natural Vagina is 4.5 inches)

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• Post-Operative period in hospital

• Post Operative Care

• Side Effects