Revision & Refinement Surgery

Gender affirming genital surgery often requires revision procedures — either to correct complications, or to refine the aesthetic or functional result. Revision procedures are a normal and expected part of the gender affirming surgical journey, not a sign of failure. Common revisions include:

Labiaplasty refinement — improving the appearance of the labia minora or clitorolabia after MTF vaginoplasty Vaginal introital revision — correcting stenosis (narrowing) of the vaginal opening Urethral fistula repair — closing a urine leak after FTM urethral lengthening Urethral stricture repair — widening a narrowed urethra causing voiding difficulty Scar revision — improving the appearance of donor site or perineal scars Scrotoplasty refinement — adjusting the scrotal appearance or size Glansplasty — creating or refining the appearance of the glans of the neo-phallus

Dr. Bhavya Sree plans revision surgery at scheduled post-operative review appointments — typically at 3 months, 6 months, and 12 months after each primary procedure. Revision is planned only once primary healing is stable and the full primary result has been assessed.

What to Expect at Your Consultation

Your consultation with Dr. Bhavya Sree is a private, unhurried, and completely confidential conversation — with absolutely no obligation to proceed. You can expect: A thorough and respectful discussion of your goals, your medical history, and your timeline An honest explanation of what each procedure involves, what it achieves, and what it does not Clear information about the surgical process, recovery, and realistic outcomes A staged surgical plan if multiple procedures are being considered Discussion of any prerequisites — hormonal therapy, letters of support, or prior procedures A fully itemised, transparent cost estimate with no hidden fees No judgement. No pressure. No assumptions. Just an expert, compassionate conversation about your options.

Book your private consultation with Dr. Bhavya Sree — drbhavyaplasticsurgery.com | Visakhapatnam Gender Affirming Surgery — Procedure Summary Procedure Direction & Overview Vaginoplasty (Penile Inversion) MTF — Creates full vaginal canal, clitoris, and labia using penile/scrotal tissue Vulvoplasty (Zero-Depth) MTF — Creates external female anatomy without vaginal canal — no dilation required Orchiectomy MTF — Removes testes — can be standalone or part of vaginoplasty Metoidioplasty FTM — Creates small sensate phallus from hormonally enlarged clitoris Phalloplasty (RFFF or ALT) FTM — Full-size phallus constructed from forearm or thigh flap — microsurgical procedure Scrotoplasty FTM — Scrotal construction from labia majora tissue Testicular Implants FTM — Silicone prostheses placed in scrotum — final masculine appearance Urethral Lengthening FTM — Extension of urethra to allow standing urination Vaginectomy FTM — Closure of vaginal canal — often combined with other procedures Penile Prosthesis FTM — Erectile implant placed in neo-phallus to enable penetrative intercourse Revision & Refinement Both — Corrective or aesthetic refinement procedures post-primary surgery General Frequently Asked Questions — Gender Affirming Surgery Is gender affirming surgery covered by insurance in India?

Coverage varies significantly between insurers and policy types. Some health insurance policies in India cover gender affirming surgery — particularly when supported by documented gender dysphoria diagnosis and medical necessity letters. Dr. Bhavya Sree's team will assist you with documentation to support any insurance claim. We recommend checking your specific policy with your insurer directly.

Do I need to be on hormones before genital surgery?

Yes — for most genital surgery procedures, a minimum of 12 months of hormone therapy is required. For MTF patients: oestrogen + anti-androgens. For FTM patients: testosterone (which also produces clitoral enlargement necessary for metoidioplasty). Hormone therapy does not prevent surgery — it is an important part of the preparation that improves outcomes and safety.

Do I need letters from a psychologist or psychiatrist?

Yes — two letters of support from qualified mental health professionals are the international standard (WPATH Standards of Care) for genital surgery. These letters confirm a diagnosis of gender dysphoria, adequate psychological preparation, and informed consent. Dr. Bhavya Sree can recommend qualified mental health professionals who work with transgender patients if you need support obtaining these letters.

What is the WPATH Standards of Care?

The World Professional Association for Transgender Health (WPATH) publishes internationally recognised clinical guidelines for the healthcare of transgender and gender diverse people. Dr. Bhavya Sree follows these standards to ensure every patient receives ethically sound, evidence-based, and patient-centred care. The guidelines exist to protect patients — not to create obstacles — and are the basis for quality gender affirming healthcare worldwide.

Can I travel from another city or state for surgery with Dr. Bhavya Sree?

Absolutely. Dr. Bhavya Sree welcomes patients from across Andhra Pradesh, Telangana, and all of India for gender affirming surgery. Virtual pre-operative consultations can be arranged for patients travelling from outside Visakhapatnam, with in-person surgical planning once you are in the city. Full support is provided for accommodation planning, surgical care, and post-operative follow-up.

What support is available during the process?

Dr. Bhavya Sree's clinic provides comprehensive pre-operative and post-operative support — including surgical planning consultations, dilation guidance (MTF), wound care, scheduled review appointments, and referrals to mental health professionals, endocrinologists, and other specialists as needed. You will not be alone at any stage of this journey.

Is this procedure legal in India?

Yes — gender affirming surgery is legal in India. The Transgender Persons (Protection of Rights) Act, 2019 and its subsequent rules recognise the rights of transgender individuals, including the right to access healthcare. Dr. Bhavya Sree provides gender affirming surgery as a fully legal, medically indicated reconstructive procedure.

🌈 This Is Your Journey — Dr. Bhavya Sree provides gender affirming surgery from a place of genuine care and clinical excellence. Every procedure is planned around your goals, your anatomy, and your timeline — with no pressure, no judgement, and no assumptions. Your identity is valid. Your decisions are yours.

Your journey deserves expert, compassionate care. Book a private consultation with Dr. Bhavya Sree — drbhavyaplasticsurgery.com | Visakhapatnam All consultations are conducted in complete confidence. Your privacy, dignity, and wellbeing are our absolute priority — at every stage of your care.