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Gender-Affirming Surgery

Surgical care of transgender and gender-diverse patients includes feminizing, masculinizing and non-binary procedures, plus the revision and salvage problems that follow primary GAS. The WPATH Standards of Care v8 (2022) and the Endocrine Society 2017 guideline frame this care. Urologists and reconstructive surgeons participate in genital, urethral and complication-management workflows.

  • OverviewSOC8 and Endocrine Society criteria for genital surgery, preoperative hair removal, fertility preservation, perioperative hormone management, and the multidisciplinary team.
  • Feminizing ProceduresPenile-inversion vaginoplasty, peritoneal pull-through, intestinal vaginoplasty, vulvoplasty / labiaplasty, and orchiectomy. Technique selection depends on canal depth, lining and lubrication demands.
  • Masculinizing ProceduresPhalloplasty (RFFF, ALT, latissimus, abdominal), metoidioplasty, staged urethral lengthening, glansplasty, scrotoplasty with testicular implants, and penile prosthesis placement.
  • Revision & Salvage GASNeourethral strictures and fistulae, neovaginal stenosis and prolapse, wound dehiscence, rectovaginal / rectoneovaginal fistula, and flap-failure salvage.
  • Non-Binary & Nullification ProceduresNonbinary options include chest surgery, vulvoplasty, phallus-preserving vaginoplasty, vagina-preserving phalloplasty and genital nullification with a planned urethral outlet.