Male to Female
(sex reassignment surgery)
If you’re thinking of making the change from male to female, the process can seem overwhelming. The physical and emotional changes during this process are quite extreme and life-changing. Luckily, the surgical process for a sex change is quite straightforward.
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Personal identity is a very individual aspect that is most clearly defined by a person’s gender. In some cases, gender identity is not in line with the way that the person feels about themselves. A man may feel that he is trapped in a body that is the wrong gender for him and in such a case, male to female surgery in Phuket can be the answer to correcting what nature mis-assigned in the first place.
If you are a physically and mentally healthy male above the age of 20 years who has been undergoing hormone therapy for at least the previous twelve months, then you may be a likely candidate. Your surgeon will insist that you have a certificate from a qualified psychologist verifying that you have, for the last twelve months at least, been seeking psychological counselling regarding your desire for gender reassignment. The patient must also have been living as a woman for the last year to ascertain that they have no doubts about the lifestyle change. If all these criteria have been met then the patient can start taking steps towards their transformation.
Facial feminisation is a large part of transformation and patients can elect to undergo a brow contouring to reshape the brow to a more feminine, rounded shape. Cheek augmentation, chin and jaw contouring are also options to feminise the face. Adam’s apple shaving is another integral part of the feminisation process, as are breast implants.
The creation of a aesthetically accurate and sensate vagina, with labia minora, labia majora, clitoris and properly positioned and functioning urethra is the most complex of these procedures. The surgeon will create an incision between the anus and the testes and will then create a cavity, which will later be the vagina. The testes are cut open and the testicles are removed. The penis is split and the urethra is shortened and repositioned correctly according to female anatomy. A portion of the glans is removed and will be used to create a fully sensate clitoris.
The penis is then inverted and repositioned inside the body, ensuring that the neo-vagina is at least 5 to 6 inches in depth. The scrotal skin is used to create the labia majora and labia minora, with the clitoris being fashioned from the tissue taken from the glans. Incisions are carefully placed to minimise scarring and are closed using micro sutures.
During the first two weeks of the surgery the patient will experience pain and discomfort which can be managed with analgesics and other pain medication. The patient should be able to return to work after two weeks but should refrain from any strenuous activities for the first six weeks after surgery. They should not engage in sexual activity for the first two months after the surgery.
Patients may experience bleeding, pain, infection, necrosis or tissue death, intra-vaginal hair growth, numbness, scarring and bruising.