How are transsexual operations performed?

Answer 1

Simply put, the person's own tissue is used to create appropriate genitalia for them.

Female-to-male -- This is usually done in three stages. First there is a bilateral mastectomy. Then the complete female reproductive system is removed. Lastly, some sort of phallus is created. The simplest way to do that is to clip the clitoral hood to make the clitoris, likely enlarged via hormone use, protrude and resemble a tiny penis. The vagina is occluded and artificial testes may be inserted. In a more complex surgery to create a phallus, skin grafts are used to build a tube, and tissue and vessels from the non-dominant arm are used as well.

Male-to-female -- In the most common surgery of this type, the testes are excised and the outer penile skin is inverted and moved to the new location. The inner tissue is mostly removed except for enough to form a clitoris. If the penile skin is inadequate, ancillary grafts or rectal tissue can be used. Surgeons use the scrotum to form the labia.

Answer 2

In short, transsexual surgeries are done using the patient's own tissue to construct the proper genitalia for the person.

Female-to-Male
This is usually a set of three surgeries. Very often, a bilateral mastectomy is done first. That has the most social impact. Then a radical complete hysterectomy is performed, where the ovaries, fallopian tubes, uterus, and cervix are removed. Then there may be an attempt to build a phallus. The simplest way to do that is clip the suspensory ligaments of the clitoris. Hormones likely made the clitoris larger, and cutting the clitoral hood allows it to protrude more. Or, if the person wants something larger and more adequate, they can have a series of grafts to create that. The disadvantage is that they will remove tissue and veins from the non-dominant arm, leaving the person disfigured with the circulation somewhat compromised to that arm.

Male-to-female
The main way this is performed is through a penile-inversion technique. The testes are excised and the outer penile tissue is inverted and moved to a new location. The inner, "spongy" material is removed except for enough to form a clitoris. If the penile tissue is inadequate, an ancillary graft or a rectal graft can be used.

Answer 3

Simply put, the person's own tissue is used to create appropriate genitalia for them.

Female-to-male

This is usually done in three stages. First there is a bilateral mastectomy. Then the complete female reproductive system is removed. Lastly, some sort of phallus is created. The simplest way to do that is to clip the clitoral hood to make the clitoris, likely enlarged via hormone use, protrude and resemble a tiny penis. The vagina is occluded and artificial testes may be inserted. In a more complex surgery to create a phallus, skin grafts are used to build a tube, and tissue and vessels from the non-dominant arm are used as well.

Male-to-female

In the most common surgery of this type, the testes are excised and the outer penile skin is inverted and moved to the new location. The inner tissue is mostly removed except for enough to form a clitoris. If the penile skin is inadequate, ancillary grafts or rectal tissue can be used. Surgeons use the scrotum to form the labia.