MTF Transgender Vaginoplasty (SRS): Sex, Expectations, and Advise

Vaginoplasty involves constructing or repairing a vagina. For the trans community, this procedure helps create a vagina in order to help them transition into the gender they identify with.

There is a lot of ambiguity as well as anxiety surrounding this topic and many trans women seem to be on the fence when it comes to this.

The trans women who do undergo this procedure do so to get rid of their male genitalia so they can feel more connected with their body.

The expectations pertaining to this procedure vary from person to person. While some are happy to merely have a vagina, others might want more depth or the ability to attain climax with their new genitalia.


Many trans women have reported that while they have spent years ignoring the presence of their male genitalia, at a certain point, the emotional and mental exhaustion had reached the threshold, at which point they decided to undergo a vaginoplasty.

There remain many pertinent questions among trans women who are considering this procedure and this article aims to address them. 

Firstly, many trans women wonder if it is actually possible to orgasm after the procedure. The answer is yes.

Several people who underwent this surgery have stated that they had the ability to feel pleasure and reach sexual climax.

This is attributed to the newfound connection they find with their body, their readiness for intimacy after they have their preferred genitalia, and their ability to remain present in the moment.

The hormone therapy is also said to contribute to the orgasms as well as the difference in the sexual experiences following the procedure.

While trans women have reported that their experience with sexual climax has changed after the surgery, it is important to note that each person goes through a unique transitioning experience.         


It is also common to have hundreds of questions regarding the aftercare. The most important point to remember is that trans women who undergo vaginoplasty must dilate their vaginas frequently to prevent the sealing off of the newly constructed hole.

Needless to say, this is a crucial step in the process. The frequency of dilation decreases with time. However, initially, you are required to dilate around five times a day.

With time, this number falls significantly although it is known to be a lifelong requirements, unless you are sexually active.

Even otherwise, the number falls to once or twice a week, which is a relief. However, if you do not want to lose depth or risk the closing off of your vagina, you must not overlook dilation.  


The majority of trans women who opt for vaginoplasty report satisfaction with the procedure if their goal was to decrease dysphoria associated with their genitalia.

It is natural to feel more comfortable in your own skin when your physical attributes align with how you feel on the inside.  

Like any other procedure, there is a risk of complications with vaginoplasty. One such risk is urethral strictures, which can make it impossible to urinate until it is corrected via another surgery.

In addition, not every person is satisfied with the appearance of the vagina following the surgery, which may prompt them to go for a revision surgery.

Aesthetic enhancement of vagina is something many trans women do opt for after their vaginoplasty.

Therefore, it is crucial to choose the right surgeon who can deliver what you need, if you want to avoid multiple surgeries.

In addition, the recovery aspect of the surgery would be more seamless and less hassle-free if you choose a reputed surgeon.

For vaginoplasty, aftercare is of utmost importance, and therefore, you must choose a reliable team who will be there for you if things go haywire.    

We hope this article helped you understand what a vaginoplasty entails, so you can make an informed decision. Good luck!!

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