Sex Reassignment Surgery in India

There are three major types of sex reaffirmation surgery for Male to Female transitioning:

Urogenital system
Urogenital system
Urogenital system
Urogenital system

Penile Inversion Vaginoplasty :

The scrotal tissue which is the skin of the ballsac, is used to create the outer part of the vagina like the labia majora and labia minora. From the skin of the penis, the vaginal canal and the glands of the penis, especially the head of the penis the clitoris is made. The central portion of the vulva that is between clitoris and vaginal opening, is usually made with the urethra. With time the vaginal canal tissue undergoes metaplasia to form mucous membrane.

Surgery cost (Approx) : 2.75 lakhs to 3.5 lakh rupees.

Recommended Surgeons :

  • Dr Richie Gupta, Fortis Hospital, Delhi.
  • Dr Syed Altaf Hussian, Sri Ramachandra Medical Centre, Chennai.
  • Dr Venkatesh R , Apollo Speciality Hospitals, Vanagaram, Chennai.

Pros :

  • Tried and tested technique.
  • There are more surgeons who have a lot of experience in doing this.

Cons :

  • The vagina is not as self-lubricating.
  • Depth of the vaginal canal is dependent on the penile tissue available.

Sigmoid Colon Vaginoplasty :

In this technique, a section of the sigmoid colon is taken and the vaginal canal is created out of that. Exactly like the Penis Inversion technique the outer vagina is made. The vagina’s outer lips are made from scrotal and penile skin but the vaginal canal is made from a part of the colon. The clitoris is made from the glans of the penis.

Surgery cost (Approx) : 3 lakhs to 4 lakh rupees.

Recommended Surgeons :

  • Dr. Narendra Kaushik, Olmec Cosmetic Surgery Clinic, Delhi.

Pros :

  • The vaginal canal is self-lubricating.
  • The depth of the vaginal canal does not depend on the penile tissue available.
  • A huge scar line in the lower abdomen.

Cons :

  • A complicated procedure.
  • Many a time, there is a possibility of the vagina having bad smells at the beginning.
  • It is also an extremely invasive surgery and to recover from this takes a lot of time as well.

Peritoneal Pull Through Vaginoplasty :

The outer vulva is made from the scrotum and penis skin. The vaginal canal is made from the folded peritoneum, which is a connective tissue inside our body. The clitoris is made from the glans of the penis. This is a novel method and was previously used on cisgender women whose vaginas were really small or didn’t exist. But now, they are used on trans women as well.

Surgery cost (Approx) : 3 lakhs to 3.75 lakh rupees.

Recommended Surgeons :

  • Richie Gupta, Fortis Hospital, Delhi.
  • Dr. Narendra Kaushik, Olmec Cosmetic Surgery Clinic, Delhi.

Pros :

  • The vaginal canal is self lubricating.
  • The depth of the vaginal canal does not depend on the penile tissue available.
  • Less invasive than Sigmoid colon vaginoplasty, The peritoneum is harvested via laparoscopy or keyhole surgery.

Cons :

  • We do not know much. It’s relatively a new technique hence we do not know much cons yet.

There is not much data on it but doctors in India like Richi Gupta in Delhi and Narendra Kaushik these days are doing this too.

There is no one Best SRS technique. You have to choose it based on your personal health and situation. So carefully weigh the pros and cons, consult with multiple surgeons if possible, talk to people who have gone through such surgeries before, and then make your decision. And keep in mind to arrange extra funds available in case of emergency situations.

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