Male-To-Female Sex Reassignment Surgery (SRS)
Notice: Adult ContentThis page contains pre-operative and post-operative pictures of genitals. This page is not work safe.
OverviewDr. Christine McGinn, D.O. performs vaginoplasty for Gender Confirmation Surgery (GCS), also known as Sex Reassignment Surgery (SRS) and Genital Reassignment Surgery (GRS). During General Surgery and Plastic Surgery residency, Dr McGinn was trained by a variety of surgeons specializing in GCS. Dr McGinn has cultivated the experience and operative skills necessary to produce state of the art results as well as expertly manage any problems that may arise. Dr. McGinn routinely performs the present day standard 'penile inversion' technique with dorsal nerve sparing, but also takes the patient's individual physical characteristics into account when planning each surgery. The result is a vagina, sensate clitoris, formation of labia majora, labia minora and clitoral hood. She also performs more complex procedures for patients with unique problems such as vaginal stenosis correction, labial/urethral revisions, and penectomy (nullification) rescue.
This price includes the hospital stay, operating room fees, anesthesia fees, and dilators. The surgeries below have not had labiaplasty (Read more about this at One Stage or Two).
RequirementsPapillon Center follows the World Professional Association for Transgender Health (WPATH) guidelines for transgender surgery. Two letters of recommendation are required before surgery. These letters can be from: psychologists, therapists, psychiatrists, sexologists or counselors that have been in regular contact with you and have experience dealing with transgender issues. The letters should be in the format described by the Standards of Care. Papillon Center can work with patients that have insufficient recommendations. On-going therapy and support is preferable both before and after surgery. Patients should have also completed their "real-life test" as well as be on an approved contra-hormone therapy (CHT) regimen. The reason for these requirements is a compassionate one: we want you to have an understanding about what changes you will go through before they are irreversible.
Please see Therapy Letter Requirements for an in-depth overview of surgery recommendation letter requirements.The vaginoplasty surgery is not a minor surgery. It is necessary that the body and mind be in optimal health. Smoking and obesity will increase your chance for complications. Smoking cessation is mandatory one month prior to surgery (as well as six months following surgery). It is also required that body mass index (BMI) be less then 28. Some medications, including estradiol and progesterone, will need to be stopped before surgery. They can generally be continued several days after surgery.
Initial ConsultationA consultation is required to setup a surgery date. It is preferable that it takes place in person; however, Papillon Center will make phone consult accommodations for individuals on a case by case basis.
The procedure is outlined, including risks, complications, and possible outcomes. Health is also taken into consideration, especially the topics of sexuality, nutrition, body mass, and smoking. Sexual health is of particular concern as sexual re-education tends to take a substantial role in the recovery of sexual function after surgery.
Dr. McGinn will go over past surgical results, including pictures, as well as expectations and limitations. It is important to be honest and ask questions about subjects that you do not understand.