Vaginoplasty postoperative care, maintenance, and sexuality

Below are selected links and websites concerning postoperative care and maintenance following vaginoplasty procedures.

Postoperative care and maintenance

LINK: Dilation (2003)

LINK: Zen and the Art of Postoperative Maintenance by Intelligence Engineering (2000)

LINK: Soul Source GRS Dilators commercial site for stents

LINK: Stentsitive dilation information (2001) - [via]

Follow-up procedures

• LINK: Labiaplasty

LINK: Corrective procedures following complications

Gynecologist visits and annual exams

LINK: Vaginal Neoplasia in a Male-to-Female Transsexual by Anne Lawrence (2001)

LINK: Preventing yeast infections by Marjorie Greenfield (2001)

LINK: Preventing urinary tract infections by Lynn Cates (2001)

Sexual function and sexuality

Most women in our community get vaginoplasty in order to align their bodies with their gender identities and sexual orientations, and to allow greater comfort and acceptance in social and intimate situations. This is traditionally called transsexualism.

There are other motivations which fall outside this traditional clinical definition of transsexualism, some of which are sexual in nature. Some people undergo vaginoplasty because of an erotic interest in possessing female genitalia and/or an erotic interest in women with gender identity conditions. Some may even have an erotic interest in the medical procedure itself. Their erotic interest may be autosexual or part of sexualized role-play and socialization. Because these people are required to undergo the same screening procedures as transsexual women, they are sometimes characterized as transsexuals by clinicians and even by themselves in order to obtain vaginoplasty. People who seek vaginoplasty for these reasons sometimes have different needs and outlooks based on their motivations, and and how (or whether) to distinguish this group of people from those seeking vaginoplasty for traditionally recognized reasons is heavily debated.

Much of the published materials on sexuality in trans women is notable for its lack of ethics, sensitivity, and academic rigor. To present a fuller understanding of this complex and interesting issue, I'll be adding a section on sexuality in upcoming months. For now I recommend the sex-positive and informative essay written by Professor Lynn Conway, based on her 35 years of experience and wisdom since her vaginoplasty.

LINK: Sexual Arousal, Lovemaking and Orgasm by Lynn Conway (2003)


1. Sarah Creighton and Catherine Minto (Gynaecology Research Fellows, Middlesex/UCL Hospitals, London) have written brief summaries of the literature on outcomes. They also discuss the current controversies over vaginoplasty indications and timing. See Minto CL, Creighton SM. Vaginoplasty. The Obstetrician & Gynaecologist 2003;5:84–9. See also Managing Intersex and a joint statement for additional insights regarding vaginoplasty on children with "ambiguous genitalia."

2. Some Asian vaginoplasty surgeons compiled by F.W. Kim, Ph.D, via Transgender ASIA Research Centre.

See also

Vaginoplasty: overview

Vaginoplasty links and websites

Vaginoplasty surgeon lists and overviews

Post-surgical issues: follow-up care and maintenance, sexual function


This section of is dedicated to the fond memory of Fran Kern. Fran was a personal assistant for Dr. Meltzer's recovering patients, who passed away on December 24, 1998. Those whose lives she touched with her caring and compassion will not forget the kindness that emanated from her.