What are the criteria for the procedure?

  • Persistent, well-documented gender dysphoria;
  • Capacity to make a fully informed decision and to consent to treatment;
  • Be the age of majority in a given country;
  • Psychiatric Evaluation
  • Twelve continuous months of hormone therapy as appropriate to the patient’s gender goals (unless the patient has a medical contraindication or is otherwise unable or unwilling to take hormones);
  • Twelve continuous months of living in a gender role that is congruent with their gender identity.


What is the procedure like?

  • During most vaginoplasties, your surgeon will use a skin graft to create a new vaginal canal (the inside wall of the vagina). To do this, your surgeon will take skin from your scrotum and thin it so it works well as a skin graft.
  • If there’s not enough skin from your scrotum to make your new vagina, then your surgeon can take extra skin from the sides of your abdomen where there won’t be a very noticeable scar.
  • To make your new vaginal canal, your surgeon will create a space between your rectum and bladder. Once your skin graft is inserted, your surgeon will place gauze or spongy material inside the new vaginal canal for 5 days. The gauze puts pressure on the skin graft so it grows like it should into the surrounding vaginal tissue​

How Much Does it Cost?

The average cost in the United States varies between $20,550 to $28,800. In Colombia, the procedure is 30-50% less.