Vaginectomy (Vaginal Closure)

Vaginectomy is the surgical closure or removal of the vaginal canal. It is an optional procedure — not all FTM patients choose vaginectomy — but for many it is a deeply meaningful step in eliminating dysphoria associated with the presence of a vaginal opening. It is typically performed as part of a surgical stage alongside hysterectomy, metoidioplasty, or phalloplasty — rather than as an isolated procedure.

Vaginectomy involves removing the vaginal mucosa (lining) and closing the vaginal canal in layers. The resulting perineum has a masculine appearance. Vaginectomy is required before urethral lengthening to the perineum in phalloplasty, as the vaginal tissue is used in the reconstruction.

⚕️ Vaginectomy is irreversible. It is an elective step — not required for all FTM patients. Dr. Bhavya Sree will discuss this option honestly, including in the context of your overall surgical plan, and will never pressure any patient toward or away from this procedure.

Anaesthesia

General anaesthesia (typically combined with other procedures) Duration 1-2 hours (standalone); added to other procedure time if combined

Hospital Stay

1-2 nights Return to Work 3-4 weeks Reversibility Irreversible

Frequently Asked Questions

Is vaginectomy required for phalloplasty?

Vaginectomy is not an absolute requirement for phalloplasty, but it is strongly recommended when urethral lengthening is planned — as the vaginal mucosa is used in the urethral construction and having an open vaginal canal in combination with a constructed urethra increases complication risk. Dr. Bhavya Sree will advise on the optimal plan for your specific case.

Can I still have a Pap smear / cervical screening after vaginectomy?

If the cervix remains (i.e. hysterectomy has not been performed), cervical screening may still be possible through the perineum with a specialised approach, though it is more complex. Most FTM patients planning vaginectomy also have a hysterectomy — eliminating the need for cervical screening. This is discussed as part of your overall surgical planning.

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 SECTION C: SHARED & SUPPORTING PROCEDURES