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Should I have ELECTROLYSIS prior to surgery?

It is your choice, but I recommend it. There is a difference of opinion between surgeons about this issue. I have heard both arguments and have also been through the process myself. I recommend that patients have 4-6 clearings by electrolysis prior to surgery. Laser is FDA approved for permanent hair reduction, whereas electrolysis is FDA approved for permanent hair removal. If a patient refuses to follow this recommendation, I will still perform surgery, as there is no added health risk by not having genital electrolysis, other than the occasional infected hair follicle. The debate stems around the tenacity of hair and the fact that one would have to begin genital electrolysis more than a year prior to surgery to ensure that several growth cycles had passed in order to eliminate every hair. While I agree and respect this argument, it is my opinion that hair removal is far from an exact science. The more hair that can be removed prior to surgery, the less will have to be removed after surgery. Removing hair after surgery is more difficult and time consuming because of the way the skin is reshaped in making the vaginal vestibule. I do remove follicles at the time of surgery both by scraping and through electrocautery, but some areas around the base of the shaft are difficult to access during surgery. I understand that having 4-6 clearings that take about 3 hours each, can add and extra $1500 to your transition cost. I donít make this recommendation without significant thought. Also, having to remove less hair during surgery decreases the amount of time patients are subject to the negative effects of anesthesia. This is not a debate about which surgeon removes the hair during surgery; we all do (US/Canadian WPATH surgeons who specialize in vaginoplasty). Itís a debate about you being informed and understanding that it is your choice as well as your consequence.