This surgery is indicated for transgender women of legal age with a diagnosis of gender dysphoria, good general health, and emotional stability. In Catalonia, it can be performed within the public healthcare system (ICS) or through private care.

Yes, the nerves responsible for sexual pleasure are preserved, especially in the construction of the clitoris. Most patients are able to experience sexual pleasure and reach orgasm after the recovery process.

There is no single “best” technique, but rather the most appropriate one depending on the case. Penile inversion is sufficient in most cases. Colovaginoplasty is reserved for patients with insufficient genital skin or specific needs.

After the surgery, a hospital stay of 7 to 8 days is required. Daily vaginal dilations are performed during the first few months, and then gradually spaced out over time. Postoperative follow-up is essential to prevent complications and ensure proper healing.

Sexual activity is usually recommended starting around 10 to 12 weeks post-surgery, always under medical supervision and once the initial healing and dilation phase has been completed.

Yes, but there may be temporary changes in the urinary stream. Most patients regain a normal urination pattern within a few weeks.

As with any major surgery, complications may occur: bleeding, infection, vaginal or urethral meatus stenosis, tissue necrosis, or loss of sensation. We have prevention and follow-up protocols in place to address them early.

Yes, because there is a higher risk of deep vein thrombosis due to immobility, surgery, and hormone therapy. That is why we stop hormone therapy 4 weeks before surgery and reintroduce it 2 to 3 weeks after surgery.

Yes, smoking not only affects healing as in any other surgery, but it also increases the risk of venous thrombosis. It is necessary to stop smoking three months before the surgery.