What to know
How it is performed
External structures are reconstructed using available tissues. When a canal is created, lining may come from genital skin, peritoneum or a selected bowel segment, depending on the technique. Bowel or abdominal components add distinct considerations; your surgeon explains the chosen approach.
Who may consider a consultation?
People seeking genital affirmation can discuss their goals, health, anatomy and any previous surgery. Fertility preservation, preparation and procedure-specific eligibility should be addressed before irreversible treatment.
Recovery & follow-up
Hospital care, wound care, catheter use and dilation depend on the operation. Canal-forming procedures can require ongoing dilation and follow-up. Travel, work and intimate activity need individual clearance rather than a fixed online timetable.
Risks & considerations
Discuss wound healing, altered sensation, narrowing, urinary complications, fistula and revision. Abdominal or bowel techniques carry additional risks specific to those procedures.
Questions to bring to your consultation
Discuss anatomy, sensation, fertility preservation where relevant, the presence or absence of a vaginal canal, ongoing aftercare, dilation if required and the specific risks of each option.