Sex Change Surgery photos, procedure before and after

Dear Blog Readers, I just found this article on sex reassignment pictures, here are some photos of before and after sex change surgery , sex reassignment and sex change operation from female to male and male to female as well as some homosexual sex surgery and here are some more pictures of before and after transsexual surgery. During sex change surgery operation in the operation theater, the picture clearly shows that how they can proceed right from the initial steps in vagina, implanting penis and after the penis implantation pictures.

sex change surgery photos

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Below, there are real pictures of sex change surgery (SRS) male to female transsexual picture that I actually took from some other sources in terms of my blog viewers to make them graceful while they are desperately looking for information and how does it look like after the vagine converted into real penis, some also asked about do they still able to release sperm. Well, for this reason I am still researching to gain more genuine information and will be posting shortly. Now what they have been expecting to find out about sex change surgery either sex change surgery from male to female or female to male by transsexual surgery operation. 

 I got this info page from http://www.symposion.com/ and I thought it would be helpful to my visitors who're here looking for information and pictures of sex change surgery. So I made it my blog post.                                                 

Beginnings of Sex Reassignment Surgery in Japan By Takamatsu Ako, M.D., Harashina Takao, M.D., Inoue Yoshiharu, M.D., Kinoshita Katsuyuki, M.D.**, Ishihara Osamu, M.D.**, Uchijima Yutaka, M.D.* **Department of Plastic and Reconstructive Surgery, Gynecology*, Urology**, Saitama Medical Center, Saitama Medical School, Japan Abstract  The first sex reassignment surgery (SRS) performed officially in Japan - for a female-to-male (FtM) person in 1998 and for a male-to-female (MtF) person in 1999 - are reported. For the FtM, two-stage conversion was applied. In the first operation, salpingo-oophorectomy, hysterectomy, colpectomy, metoidioplasty, and mastectomy were performed. A free flap phalloplasty with the deltoid flap is planned as the second stage. For the MtF, one-stage neovaginoplasty was performed by penile skin inversion technique with sensate pedicled neoclitoplasty.

Introduction Japan, which is considered to be one of the world's most advanced countries in terms of its economy, technology, industry, and medicine, has long been in the dark ages regarding people who suffer from gender dysphoria. In July 1996, the Ethics Committee of Saitama Medical School submitted a report, at our request, on surgical treatment for transsexual patients. The report acknowledges that transsexualism exists and that treating transsexual patients can be regarded as a justifiable medical activity. The report was made public by mass media. In 1997, the medical guidelines for transgender persons were issued by the Japanese Society of Psychiatry and Neurology, with some modifications of the Standards of Care of the Harry Benjamin International Gender Dysphoria Association. We organized a medical team composed of psychiatrists, a sexologist, endocrinologists, gynecologists, urologists, and plastic surgeons. This is a report of the first sex reassignment surgeries (SRSs) officially performed in Japan: one for a FtM person in 1998 and one for a MtF person in 1999. Diagnosis, preparatory psychotherapy, and hormonal therapy were carried out according to the above-mentioned guidelines. Methods SRS for a Female-to-Male Transsexual   In the first operation, regarded as the first stage in the two-stage conversion, bilateral salpingo-oophorectomy, hysterectomy, colpectomy, metoidioplasty, and mastectomy were performed. Please click on the picture to enlarge how they perform female to male gender change surgery.   sex change surgery procedure from female to male First, the gynecologists performed a transabdominal oophoro-hysterectomy. Then they began to elevate the anterior vaginal flap through the abdominal approach. The elevation was completed transvaginally, just to the dorsal part of the urethral orifice, by plastic surgeons. The vaginal mucosa was resected, and colpocleisis was accomplished. After the abdominal wall was closed, we performed a metoidioplasty, as advocated by Hage (1996). By resection of the chordee, the clitoral shaft was released and abdominally advanced. The neourethra was constructed by suturing the vestibular skin, the vaginal mucosal flap and the labial flap around the urethral catheter in a watertight fashion (Figures 1, 2). A suprapubic cystostomy was performed and the urethral catheter was removed. Figure 1 Figure 2 For the bilateral mastectomy, we used a modification of the concentric-circle periareoral de-epithelization technique reported by Davidson (1979). Resection of the breast gland and reduction of the nipple were performed by the transareolar approach described by Pitanguy (1966) and Hage and Bloem (1995) (Figures 3, 4).Figure 3 Figure 4 SRS assignment picture after transform to male from female rare picture see more picture here  The estimated blood loss was 740 ml, and the total operating time was 6 hours. The postoperative course was completely uneventful. The suprapubic catheter was left in place for 7 days. The total hospital stay was 14 days. We are planning a free-flap phalloplasty as the second stage of the conversion. The patient desires the phalloplasty but at this time cannot afford the necessary fee which will amount to 2,500,000 yen (US$25,000). SRS for a Male-to-Female Transsexual A one-stage operation was performed in June 1999. The operative technique involved the following procedures: bilateral orchiectomy and penectomy followed by vaginoplasty, clitoroplasty, and vulvoplasty.   For the vaginoplasty, we employed a modification of the abdominally pedicled penile-skin-inversion technique added by a triangular perineal skin flap (Karim, Hage and Mulder, 1996). A dorsally based triangular perineal flap measuring about 10 cm long and 4 cm wide was used to line the posterior wall of the neovagina and widen the introitus (Figure 5). The testes were isolated and then removed with a double ligation of the spermatic cord at the level of the external inguinal rings. The skin of the penile shaft was mobilized from the corpora up to the level of the corona. A circumcising skin incision was made at the corona, completely denuding the penis of its skin and leaving the glans penis attached to the corpora. in figure 5 its shows that after cutting the penis off and converted into the vagina as we seen in the pictures. It seems very real and not much difference if you see on the before and after sex change photo. male to female sex change before and after picture Figure 6 The dorsal part of the glans penis was used as a clitoris. Sensate pedicled neoclitoplasty using the reduced glans, which remained attached to its dorsal penile neurovascular pedicle, was performed (Brown, 1976). The corpora cavernosa were resected to prevent postoperative pain due to erection of the remaining corpora tissues. A neovaginal cavity was created by dissection between the two layers of Denonvillier's fascia using a laparoscope placed in the abdomen as a guide. The created neovaginal depth was approximately 10 cm. sex change surgery overall picture for male to female transformation rare picture The lower abdominal skin flap was dissected to about the level of the umbilicus, and this advancement of the flap in the inferior and posterior direction made it possible for the base of the penile skin tube to overlie the introitus of the neovagina. The perineal triangular flap was sutured to the posterior wall of the penile skin tube and the widened tube was then inverted to line the neovaginal cavity. The skin flap was incised in the middle and the urethra was brought out through the buttonhole and amputated at the urogenital diaphragm level. The urethral stump and neurovascular pedicled neoclitoris were sutured to the skin with interrupted sutures. A soft, individually selected urethane mold, placed in a condom, was inserted into the neovagina, and the mold was securely sutured to the perineum to prevent prolapse (Figure 7). see more picture here The estimated blood loss was 760 ml and no transfusion was necessary. The postoperative course was uneventful and the patient was discharged on the eighth postoperative day. She wore the dilating stent every day for 3 months postoperatively; nevertheless, the neovagina decreased in depth to 6 cm and in diameter to two fingers' width. The neoclitoris was found to have returned to a normal level of sensation (Figure 8). The patient has returned to her previous occupation. Discussion We believe that most FtM transsexuals desire closure of the vagina. However, we recognize the different view of some surgeons who consider the risk benefit to be rather high. Their reasoning is that most patients are not necessarily aware of the presence of the vagina because of decreased discharge after hysterectomy and atrophied mucosa due to long-term hormone therapy. We have found vaginectomy to be technically difficult and bloody and autotransfusion has a valuable place here. We have also found the vaginas of the Japanese FtM transsexuals we have examined to be very narrow compared with those we have observed elsewhere, so we have chosen to do transabdominal hysterectomies. The other advantage of the transabdominal approach is that the partial elevation of a sufficient size of the anterior vaginal flap and vaginectomy can be carried out from above, under direct vision.   In SRS for MtF transsexuals, we employed a laparoscope to assist in dissecting the vaginal cavity. Its light can help avoid injury to the prostate and rectum and can provide a direct view of the vaginal cavity up to the peritoneum. We are planning a free-flap phalloplasty as the second stage of the FtM SRS (Figure 10). We have experienced 13 cases of deltoid flap and 5 cases of forearm-flap phalloplasties in non- transsexual patients during the past 15 years (Figure 11). These techniques always result in extensive scarring of the donor area. Our first choice of donor site for phallic construction is the deltoid flap (Harashina et al.,1990) because it results in less morbidity in the donor site, is a true sensory flap, has hairless skin, and is less likely to result in atrophy of the neophallus.  However, this technique may be technically more difficult than that with the forearm flap, and it may be impossible to make a roll on obese patients. We think the deltoid flap is especially suitable for Japanese FtM patients because they generally are not obese. In fact, they usually try to reduce their weight so that they will not be regarded as females. At the time of writing this paper, we have performed six SRSs: one for MtF and five for FtM. Four of the five FtM patients had already undergone mastectomies elsewhere. The SRSs were performed at the Gender Clinic of Saitama Medical Center, which was the only provider of transgender-specific health services in Japan as of March 2000. In total, over 400 clients have visited our clinic since the first patient arrived in 1992, and about 100 new gender dysphoric clients have been seen each year. Sixty percent of them seek SRS. While there are many candidates, we take our time before performing surgery because there are very few psychiatric specialists in this field in Japan and we must apply for permission from our ethics committee in each case. Conclusion The first SRS operation in Japan was affirmatively reported all over the country and there was actually no public criticism. The operation was an historic turning point for the proper understanding of Gender Identity Disorder in our country. We are just on the starting line. Many issues remain to be resolved in promoting the welfare of our patients. Whereas public interest is steadily increasing and some acknowledgement of SRS seems to have become established, there is still no policy regarding health insurance and legislation for those who have undergone the procedure. SRS is not covered by National Health Insurance, and postoperative persons cannot yet change any of their documents. Our team is still the only practising gender surgery team in Japan, although two other teams are now being organized. Despite these difficulties, the role of SRS, performed justifiably, is becoming more prominent in the treatment of transsexualism in Japan. Do not forget to comment below, We need your valuable information in relation to sex change operation or SRS surgery. I encourage to all the readers to share their stories and experiences. Remember ! "Sharing is Caring". References Brown, J. (1976) Creation of a functional clitoris and aesthetically pleasing introitus in sex conversion. In Marchac, D. (Ed.), Transactions of the 6th International Congress of Plastic and Reconstructive Surgery. Paris: Masson, pp. 654-655. Davidson, B. A. (1979) Concentric circle operation for massive gynecomastia to excise the redundant skin. Plastic and Reconstructive Surgery, 63: 350-354. Hage, J.J. (1996) Metoidioplasty: An alternative phalloplasty technique in transsexuals. Plastic and Reconstructive Surgery, 97: 161-167. Hage, J. J., Bloem J.J.A.M. (1995) Chest wall contouring for female-to-male transsexuals: Amsterdam experience. Annals of Plastic Surgery, 34: 59-66. Harashina T., Inoue T., et al. (1990) Reconstruction of penis with free deltoid flap. British Journal of Plastic Surgery, 43: 217-222. Karim, R.B., Hage J. J., and Mulder J. W. (1996) Neovaginoplasty in male transsexuals: Review of surgical techniques and recommendations regarding their eligibility. Annals of Plastic Surgery, 37: 669-675. Pitanguy, I. (1966) Transareolar incision for gynecomastia. Plastic and Reconstructive Surgery, 38: 414-419. Acknowledgement We are very much grateful to Doctor Joris J. Hage in the Netherlands for his valuable help in order to accomplishing this task.

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Male to Female (M2F) Transgender's story (Krissy's Story)

I was born at Ryde Memorial Hospital, Sydney in March 1963 and pronounced a boy, My mother, Nancy, was a process worker and also worked in milk bars and TAFE cafeterias. Dad's name is Hilton and he was a supervisor for Goodyear Tyre and a storeman for Kmat. They are both retired now and mum does a lot of volunteer work for the Red Cross. My two brothers were older than I was and I also had one older and one younger sister. When I transitioned their reaction was mixed but these days the whole family lives in Queensland and is very close. If we can't see each other for a while the phone lines run hot.

      When I was in my teens, both my friend Denielle and I were lucky that our families supported us. We were ostracised by many trannies in Kings Cross because we still lived with our families and they had lost theirs. I guess they couldn't stand being reminded of that. I did get to know quite a few of them and became a 'Clayton's friend for when no-one else was around. That was the way it was: 'You're there--I am here! Don't talk to me untill after so and so has gone...'

      As a kid I don't remember particularly thinking that I was a girl but I liked girls games and toys-- not boy stuff. Our neighbours all seemed to know that I was different, probably because I was always helping them around the house and in the garden. I didn't have any trouble with the kids in our street either. The bashing started at infant school. I was so terrified, I would lose control of my bowels and urine and hide in the closet. The bashing continued through primary school and it was there that I started smoking cigarettes of course. I used sex as a tool and become a 'teacher's pet' so that I could stay behind after class--but no teacher ever touched me in a sexual way.

     I think I got a reputation for being tough (probably because of the smoking) and people started to leave me alone. My second oldest brother had been involved with a few bashings of his own. He had bashed two teachers, and he would just walk out of school, so people began to assume that I had the same violent nature. Mum took me to see Dr Wallman, our family GP, and asked him to send me to a psychiatrist but he refused. He had done that with a set of twins previously, one of whom had said that he wanted to be a girl, and six months after they had seen the psychiatrist they were dead. They both suicided--even the one who hadn't thought he was a girl.

      The challenges really brought home to me how different I was to them and I didn't cope very well. My brother's reputation had preceded me once again and sex was another 'thing' that I used to keep the bastards away from me. I don't think Dr Wallmart knew what to do with me but he knew that I was on the edge and probably figured that a live kid on drugs was better than a dead kid on nothing--so he prescribed Valium for me. The result was that I spent most of my time at high school in a drug-induced daze. Fairly predictably, I tried to overdose on Valium (which obviously didn't n work) and ended up taking a year off. Eventually I couldn't stand it any more and left school completely.

      For a long time I thought I was gay and I had a lot of trouble trying to come to terms with that idea. My ambition when I was a kid was to be a singer and glamour girl--I loved sequins and feathers and all that. What I ended up doing was working on a machine in a factory that make plastic bags and I hated it. I really went off the rails for a while and both Danielle and I flirted with prostitution.

      Then a couple of gay guys and I went to Kings Cross to see a show at Les Girls, where I saw transsexual performers such as Carlotta and Toye de Wilde. It was a revelation. I had no idea that a boy could become a girl and the minute I saw them I thought, 'That's me!' I managed to talk to a couple of the girls, which was just as well because there was no information available that was of any help to me. They told me about a doctor in Sydney I could see-- and that was the beginning of my transition.

      I told my parents, who were totally confused and blamed themselves, They just didn't understand what was happening, but then, neither did I. Eventually they met a couple of my tranny friends, including Danielle, and tried really hard to adapt to the situation. Meanwhile I received a great deal of support from Seahorse in Sydney and my friend, Noeline. If course I used to dress up in my glad rags and go out for the boring into you--it was 'wicked' and 'scandalous'. I got the impression that everyone expected me to stop carrying on under their noses, go away for my gender reassignment operation and not come back until after 'everything' was done.

      I had my operation at the Masada Hospital, Melbourne in 1989 and remember saying, 'Thank God that's over'--now I can get on with the rest of my life'. Mum went to Melbourne with me. When dad rang up to see how I was he said, 'Well, I might have lost a son but now I have another daughter', which I thought was really nice. No-one can ever be entirely happy with being regarded as a guinea pig but I was reasonably pleased with the way I was treated at the hospital; I was certainly happy with the outcome of the operation. After that, I touched base with reality and grew up. I did Year 10 at Meadowbank TAFE under the name of Kristine, which I thought was pretty cook and it saved a lot of arguments later when I had to present my qualifications. No prospective employee have insisted on seeing my high school results so far but I often wonder what the expression on their faces would be like if they read that Kristine attended an 'all boys' school.

      It would be wonderful if school records, trade papers and apprenticeship papers etc. could be changed to reflect the true indedtity of a person, particularly if the documents were made gender neutral (the Queensland University of Technology will now change the name and gender status for transgender students). I never did become a glamorous singer but, unlike many trnasgenders after transition, I managed to earn a living by doing house cleaning, working as a process worker and supervisor, andI also acquired a forklift operator's licence.

     I would like to adopt children but have never tried to do anything about it because the laws are too defined and unbending even for those who are considered to be suitable candidates. in 1999 several law reforms relating to industrial relations, domestic violence and property law were passed by the Queensland Parliament in order to bring De-facto and same-sex relationships into line with conditions covering heterosexual married couples in these areas.

      
I couldn't help wondering where that left me as a woman--a boy who, with the help of the medical profession, grew into a woman. And what about the girls, who, again with the help of the medical profession, grew into men. Are we male or female? That depends on which government department you deal with and what state you live in. Federally we aren't too badly off. The federal government has acknowledged our change of gender (after all the surgery has been complete of course) provided we produce a letter from doctor dear that the surgery is irreversible. Documents attesting to that fact fly across the country at such a rate they burn up by the time they arrive at their destination.

      In the State of Queensland, particularly, we faced a great many challenges. We couldn't be issued with a new birth certificate reflecting our change of gender and we couldn't marry the partner of our choice. I could have married a female-to-male(F2M) transsexual legally but, although I was in a long-term relationship with my male partner, that relationship was not recognized for what it was because we were considered to be a same-sex couple. Transgender people to have a Bill, an Act of Parliament of amendments to legislation already in place, to clarify where we stood in the community.

      Where do we, as a community, draw the line or set the boundaries? Who decides who is transgender, homosexual, heterosexual, bisexual and so on--do we let the politicians do it? Many people in our community identify with homosexuals, male-to-female (M2F) people attracted to women, female-to-male (F2M) attracted to men. Is a M2F attracted to men gay because she has a vagina and her partner has a penis? Is a F2M attracted to women gay because he has a penis and she has a vagina?

      Regardless of whether you are a F2M or a M2F, what is between you legs at birth currently decides your future worth to the community as a whole. Society has an absurd curiosity about genitalia and this is reflected every day in just about every form of documentation we are required to sign. The big question is (whether you are pre-op, post-op or no-op) who are we? Where do we fit in? Our legal status is in limbo depending on which state, government department or person you deal with. In addition to that, we must cope with neighbours and people who, on an everyday basis, often refer to you as Ms or Mr based solely on the sound of you voice or appearance.

      My preference would be do do away with the word 'transgender' completely and go straight from male to female. A few words added to legislation, or a small alteration here and there to existing legislation, would eliminate so many of the obstacles we face that prevent us from living worthwhile and fulfilling lives. What other section of the community is compelled to undergo the most intensive, intrusive and exhaustive medical testing and analyses over many years to ensure that they are sane people? How many of you have been forced to prove you sanity? How many other members of society are forced to put in as much time, effort, and money just to conform to the ideas of genitalia-correct people who believe that we have somehow been given the wrong bodies to begin with.

We do it because we are different -- very different. We are forced through endless psychological, medical, psychiatric, religious and peep pressures to fit in. Nearly forty-five per cent of transgenders forfeit their lives through suicide because they can't cope with that kind of constant pressure. In the end---this is the way we are. Society has decided how we will look, act and talk, A parade of people with different hats decides who 'passes' and who doesn't. Because society has decided all this for us, I believe it is up to society to protect us, nurture us, and be there when we need them---but this is not the case at the moment.

      The way we deal with society's assumptions is in our own hands and in the hands of the well-intentioned people who believe in us. All I want is to be an active and participating member of the world at large---not relegated to the outskirts of society for the entertainment of those who see us as men in dresses on stage; or as a sex change; or as a prostitute for men and women to fulfil their sexual fantasies.

      I don't want to see my transgender friends drown in alcohol or choke on their own vomit through talking drugs because they don't measure up to a community's expectations---and there have been quite a few. I don't want to be hidden away in bed-sits or isolated to wait for the deep sleep to end the pain. I don't want to be an 'in your face' type either. I want to be able to get married and adopt my future husband's children, if any. I also want to be able to love, care for and protect the children of friends and family, who in their last will testament have given me the guardianship of their child. I want to be able to live, love and work in an environment where I am protected from vilification, harassment, and discrimination of any kind.

      It should be mentioned  here that there are some truly wonderful people working within the system trying to right these wrongs---none more so than those who tried to change things in Queensland where transgendered and inter-sexed people had no protection under state law at all in many areas. Like members of the transgender community, those who sought to help us continually had their hopes for improvement stomped on for years because we were not politically palatable or the climate was not considered right for a change.

Epilogue

Change eventually came to Queensland! in March 2003 the Queensland Government passed amendments to the anti-discrimination Act to include GENDER IDENTITY (the medical term). This has released the tension and grustration of being (legally at least) treated as a non-human.

      With that protection comes the responsibility of living in a diverse cultural community. Although the law now protects us, education relating to the dynamics of gender identity still has a long way to go. I will always assist whenever and whereever I can to put a human face on this issue.

      Personally, I look forward to a future where I can live a full and productive life, stay healthy, gain some financial stability---and never have to was my face again.

Source : Transgenders and intersexuals by May, Lois

Male-to-Female transsexual (Reynah's story)

Reynah is a psychology graduate and male to female transsexual, who is hoping to study the functions and malfunctions of prenatal hormones and their ability to masculinise the body while leaving the brain in its default mode of femininity.

Although Reynah's mother thought 'he' and his sister were as alike as two peas in a pod when they were infants, his sister was labelled pretty while Reynah was pronounced handsome. He was then bundled into a blue bunny rug from which he was forced to view the world for the next forty years as he struggled to become the person other people wanted him to be.

A near-death experience and his father's critical illness precipitated him into a nightmare world of uncertainty and terror -- a world with which he and his wife and family could not cope. Reynah was not a woman to give up easily, however, and has faced the challenge of becoming the girl of her dress with courage, determination and grace. Her story tells of her ongoing struggle with guilt, confusion, exploitation and hair.

Living the Dream

Have you ever been driving in your car when suddenly you become aware of your surroundings? You realize that you have appparently been driving on automatic pilot for some time, but at the moment of re-focusing you are temporarily disorientated ad can not remember where you are or how you got there. This shift of attention away from reacting to external stmulation toward responding to some internal stimulus is called 'daydreaming'. I suspect mhy whiole life has been a daydream. I don't know where I am or how i got there. I am a pre-op transsexual--but where is that? It's not a man and it's not a woman and there are the only two locations on society's gender map. Did I make a wrong turn somewhere?

My early childhood is charted on my personal memory map with seemingly silly little things being fixed as important landmarks. I remember mum dragging me along for dad to see the ribbon that I had tied in my hair and, terrified, being tolk that boys don't do that --learning so sooon that I was bad.

A delicate gold chain and cross necklace is all right for girls but not for me. Mum's make-up drawer and red, red lipstick-- is that a pimple or a trace of lipstick? Scrub it raw! I'm bad and I mustn't get cought. My hair is cut: short back and sides! Tears, tears and more tears. I am crying for my hair. I see a girl's Shiny, translucent complexion--gorgeous. I want it too. A bit goy athlete shaves his legs. It must be okey, but again, not for me. Ridiculed and punished--it is bad for a boy to be a girl!

At a party we play 'spin-the-bottle'. I kiss girls on the cheek: in the shed I kiss boys on the lips. Always hiding. Nobody must ever know because it's bad and I am bad. I must learn to be a boy--more of a boy than anyone so that no-one ever guesses. Masculinity did not come naturally to me so I picked a stereotypical role and played it to the hilt. Boy, did I become a man ! I played first grade rugby in Brisbane, fathered three children and built our house with my bare hands. 

I drank like a fish with the boys and went to all the pick-up bars. Although I had trouble with on-night stands, once I was in a long-term, loving relationship I was able to perform satisfactorily. In my life I have had three such relationships; the last one became a marriage of twenty years. See? Girls can do anything!

Outwardly my marriage was not at all remarkable. I was able to suppress the real me and behave just like any other husband. But always hovering, just below the surface for me, was the realisation that I viewed the relationship as being between two woman--with one penis to share. Then two traumatic events occurred I only just survived a near-death experience and my father underwent a triple bypass heart operation. I woke up one morning sobbing inconsolably. I cried for hours. The uninvited realisation that I could die without ever having let 'me' escape the masculine charade left me uncertain of my future and terried.

I explained everything to my wife that morning and , although it took six months for her to leave me physically, mentally she left me that day. One doesn't simply jump a fence to become the woman inside--all that conditioned overt masculine behaviour must be reversed. I had to learn how to walk, talk, sit and even stand like a woman. I was initially besieged by offers of help and instruction from incredulous women who I now think saw it as a rather humorous challenge.

I was forever being told, 'women do this...' or 'women don't do that...' as if all women think and act identically. I could obviously see that this was not the case but conforming to this new stereotype was the first phase of my re-education and the renunciation of my masculinity came very easily.

Soon all the walking and talking business became second nature but I was also to grow a bread without even thinking. Women do not do that! In order to 'pass' physically as my true psychological gender I realised I had to do something about this terrible affliction. Hormones will develop breasts and change the shape of your body and face but they seem to have to effect on facial hair. I remember my first facial waxing: how could I forget it? It felt like the flesh had come away with the hair and only  hours of having a packed of frozen peas pressed to my face alleviated the pain.

      After a great deal of research into eletrolysis and lasering I made an appointment with a laser and skil care clinic that advertised treatments which they said would permanently remove both dark and blood facial hair. The decision to take this irreversible step highlighted for me the reality of my transition and strengthened my resolve but it did not negate the emotional turmoil of home and fear.

      The clinic had quoted me 500 dollars per session and said that it would take three sessions. Fifteen hundred dollars! That hurt! I jokingly told people I was putting my money all around where my mouth was. The scanty literature provided by the clinic advised that plucking or waxing should cease for two months prior to the treatment and that I should present on the appointed day with a couple of millimetres of growth. This meant shaving for six or seven weeks and then growing a bread for a week or so. Yuk!

      As the beard become noticeable, the years of male conditioning and doubts about the direction I was taking came flooding back. Insecurities I thought were well behind me surfaced as the reflection in the mirror told me a different story to the one that I felt was true. The mirror said, 'There is no woman here!' and only the support of friends enabled me to see that the mirror lied.

      I arrived at the clinic for my first apppintment in bib-and-brace overalls and a lime-green T-shirt--a look I hoped was not too garlie for my bearded face or too butch for the lovely complexion I expected to have when I emerged.

      I was met by a youngish, handsome (cute but a bit short) doctor, who led me into his office where we chatted about my expectations. Only then did he revise the three-session schedule, saying that recent information suggested success might involve five procedures.

      The dollar signs must have started to whirl in my eyes because he promised to reduce the price after the third session. This interview left me with the distinct impression that money was more important to him than success (which couldn't be guaranteed anyway due to the newness of the technology). I felt like a guinea pig gambling my life's savings--but I was committed.

      After taking a photograph of my face, which immediately came up on his computer screen, the doctor wrote down some details and then showed me into the beautician's room where I was asked to like down on the 'operating' table.

      My face was to be waxed and since I now regarded waxing as the painful equivalent of a tooth extraction without unaesthetic I wasn't too keen, but the beautician was very professional and the waxing was soon over without very much discomfort. She smothered my face with a cool cream and began to set up the computerised laser.

      I closed my eyes thinking that if I couldn't see it, it wasn't happening--but it was. I could hear the whirling and dinging of a machine and then felt a wave of warmth progress slowly down my cheek. The warmth became real heat but the machine moved on just as the pain was about to become unbearable.

Time flies when you're having fun and I suppose the opposite applies, so I couldn't judge objectively how long the treatment took, but the clock indicated about half an hour.

      I did emerge like a fresh-faced young thing, with no residual pain or blotching. I looked adorable--well, pretty good compared to the way I looked when I went in, but after a week or so the hair started to regrow and the ritual began all over again. Iwent to the clinic for treatment three times and really felt that there was no long-term change. Depression set in and in despair I began researching alternatives.

     Another clinic was offering prices on a sliding scale, starting with the same amount of 500 dollars but reducing the charge by 100 dollars for each visit down to a minimum of 200 dollars. I attended this clinic five times. The improvement was noticeable after the first three times but I thought that the last two visits produced no significant effect. I had reached the end of my lasering treatments.

     My overall impression was that the clinicians saw me as a cash-flow opportunity rather than a client with genuine need. I do believe that psychiatric-ally diagnosed transsexuals should be supported in accessing surgery or procedures that are normally considered cosmetic from a medical point of view.

     I would describe my facial hair at the moment as being controllable. I pluck the ever-emerging strays every morning and I am probably more self-critical of my looks than most biological women. Genetic girls can have faults and still be girls. We will always have an agglomeration of faults that conspire to give us away.

      'Passing' is more of an internal thing now and I have reached a point where I can 'pass' as a true woman no matter what I look like. The 'bad boy' tapes that continually played in my head, perpetuating my sense of guilt and lack of self-esteem, are gone. These days I hear more often what a lovely, kind and caring woman I am and believe me, I can listen to those sorts of comments until the cows come home.

EPILOGUE

Some people say that being a 'woman' or a 'man' are learned states but I think that femininity and masculinity are innate. Intellectually, I have no preference for being a man or a woman but internally I know that I'm a girl. This may seem like a strange idea to those people who have maching brains and genetalia but even stranger things happen to those who haven't.

      As I continue to mature into womanhood it is important to me to become as attractive as I can, while at the same time realising that I will never be beautiful on the outside--on the inside, of course, I am already absolutely gorgeous.

     My body is changing its shape as muscles disappear and fat accumulates in different place. While my breasts and hips enlarge and my shoulders diminish, I have become almost totally unaware of my penis, as if this extraneous appendage has accepted redundancy and quietly awaits its demise.

     I probably have to shave my legs more often than most women do and I was my arms in areas where I am sure that even the most fastidious woman probably wouldn't bother.

      I am emotionally attracted to men and, since my self-acceptance and transition, I am less physically attracted to women. I love in a halfway house of asesulity, which is fine by me because I realise that as a woman I have only just reached the psychological stage of adolescene.

     My sexuality will probably be determined by the person with whom I eventually fall in love and I somehow think that this will be a man. Does this make me gay? Some people think so but I don't.

      As long as my partner and I are happy and my efforts and commitment result in my becoming the strong, intelligent woman I fell myself to be, quite frankly I don't think that it matters what labels people use.

What does a sex change vagina look like?

Many people have asked me to what does a sex change vagina look like after gender reassignment surgery? or some transgender vagina picture. This is what I found to give you little bit peace of mind. The following pictures are still a adult content. Dear blog readers, Please be aware of the explicit images of vagina after the sex change surgery, once again I'd like to put this sign to discrete the advice.

 

Please do not judge yourself after seeing this picture, these pictures are not for promote of influence people. It is just an example photo of how vagina seems after the sex change operation.

Male to Female sex change surgery before and after photo

transgender vagina

A glimpse of vagina after SRS from male to female.

The above pictures shows how a vagina become after sex reassignment surgery from male to female. You may find from the first picture and third picture result may seem different.

repaired vagina after the sex reassignment surgery

Vagina repaired before and after the SRS surgery

vagina resize, reshape and repair picture after the SRS surgery

Indeed, the vagina does stretch some after intercourse. The hymen should shred, and the opening should tract. The vagina can also become 'deeper' to adapt a penis being inside of it. Furthermore, throughout masturbation and stimulation the vagina can develop extra open in arrangement of a penis being inside of it.

vagina repaired, resized and reshaped by SRS surgery

and from the above picture, it is still not confirm that you may or may not get a best result after repairing your vagina through sex reassignment surgery SRS. However do not panic because of this. It is one example of many, and shows how it is looking after the surgery.

 

It's funny seeing above images of vagina, what can we expect a vagina to look like, a bundle of roses? We must admit that it does not seem normal. But we should adapt that Sexual reassignment surgery was a very, new trend, so that people who want to change their gender or transsexual or transgender people can benefit by this SRS service.

Appearance of genitals - What does a male and female genitals look like after SRS

Well It's hard to say what does a male or female genitals look like after they have undergone to sex reassignment surgery SRS. It would be very unnatural to say it does look like natural born genitals as normal people have. It is based on the extend of surgery the patient have gone for, including prehistory SRS or if their body are associated to transgender or transsexual society. Here are some transgender images of before and after sex change surgery. Please be mindful that it does not look very natural and you should not be expecting to have better than this if you are planning to do SRS in the near future. Its a surgical procedures where professional surgeons will perform their best job to get better result. Also the patients can have better life with better result.

Risk : All surgery runs the risk of infection, bleeding, and a need to return for repairs. This surgery is irreversible, so the patient must have no doubts about accepting the results.

The operation to change the male genital organs into female genital organs takes around four hours. Here are the procedure to follow.

• The procedure involves effectively skinning the penis and removing most of it, though the skin, the main nerve supply and blood supply are retained.

• A small sensitive section of the head of the penis is also retained and is then reused to create a clitoris - and the finished result is incredibly realistic.

• The testicles are removed and the skin from the scrotum, together with the skin from the penis, is used to create what will become the internal vagina and the external labia.

• An incision is made between the anus and the scrotum and a space is created between the existing organs forming the cavity where the new vagina will rest.

  

  click to enlarge
  male to female genital after surgery photo

• The lining of the vagina is created from a pocket of skin. To ensure it is capable of being functional in the long-term this is usually about six inches deep, but can vary in size depending on how large the penis and scrotum are and how much skin covers them.

• This pocket is then inserted into the cavity where it is fixed and the new clitoris and labia are formed an subsequently stitched in place.

• It takes about three weeks to recover from the surgery, depending on the patient, and we advise they wait six weeks before undertaking any form of exercise.

• Patients are also advised not to have sexual intercourse for two or three months at least to ensure the “new organs” are robust enough.

• This reconstructed vagina is not going to provide the same sensation as a conventional vagina and they are unable to produce natural lubrication.

• But some people who have undergone this surgery say sexual intercourse can result in a sensation intense enough to produce an orgasm.

• Visually any scarring is hidden internally or in creases of skin or by what pubic hair is left after the patient has undergone hormone treatment.

• The patient will also have to regularly use dilators, that are used to maintain the vaginal opening and ensure it doesn’t tighten up too much. This is usually continued until regular sexual intercourse can begin.

The operation to change the female genital organs into male genital organs takes around four hours. Here are the procedure to follow.

Metoidioplasty (meta) is a female to male gender reassignment surgery (GRS). Metoidioplasty surgeons have a high success rate for the before and after surgery results.

Metoidioplasty is a highly customizable female to male surgery that allows each candidate to choose the options that best suit their needs. Because each person who chooses to have metoidioplasty is different, there is a wide range of options that candidates can discuss with their surgeon.

Generally, the enlarged clitoris, which is an effect of testosterone hormone replacement therapy (HRT), is relocated upwards to create a sensate and functioning micropenis. The surrounding skin of the clitoris is removed and “released” from the pubis to give the impression of more length. This results in a circumcised appearance, although patients may opt for an uncircumcised look. The suspensory ligament may be partially divided. Labial ligaments and the urethral plate are released, which allows the penis to extend further outward.

click tom enlarge
Female to male genital after change photo result

The procedure may involve the creation of a glans and scrotum by using the tissue from the labia majora or labia minora with two testicle prosthesis.

Metoidioplasty generally takes 2-3 hours to complete, is less expensive, and has potentially fewer complications than phalloplasty. The procedure may be done under conscious sedation. General anesthesia may be necessary if the patient opts for primary urethral lengthening, hysterectomy, or vaginectomy.

Result:

100% of patients were able to achieve postoperative erection. Unlike phalloplasty, most of the metoidioplasty patients were unable to perform penetrative sex since the neophallus is too small. 96% of patients were able to urinate without difficulty while standing. A few patients experienced dribbling and spraying that later resolved without medical intervention.

Less than 5% of patients experienced complications from urethroplasty. All urethroplasty complications were successfully resolved by minor surgical intervention.

Can you still have intercourse after a sex change?

There are a lot of speculation about whether you should have intercourse or not after a sex change surgery. After extensive research about the topic this is what I have found the best answer to match the questions. But I will be very much apologetic to you all if the answer seems to be wrong as I said it is just a discussion over the very conflict questions that has been escalating everyday amidst many people around the world.

ANSWER:

Yes you can.

I have two friends who are male to female transsexuals, one is asexual so doesn't have sex (and is attracted to women anyway), but one is attracted to men and is, to say it politely, very promiscuous. The second has had a hell of a lot of intercourse since having the sex change, and frankly if she didn't enjoy it then there would be little reason for her to have intercourse - although don't forget intercourse isn't the be all and end all of sex.

I think male to female transsexuals are possibly the lucky ones, my understanding is that if you are a female to male it is harder because it is more difficult to make a working penis, often their penises are on the small side and can face erection problems, which makes intercourse difficult for them. Where as male to female their vagina's can be made from their penis, essentially, their vaginal canal can act just like a natural vagina and may have a little more sensation than a natural vagina. I believe hormones help keep the vaginal walls moist like with a natural vagina, and you can add lubrication.

I've been told it's hard to tell the difference between a natural vagina and a transsexuals vagina, and although I've yet to see one in the flesh given as my friend can have sex with so many men without them knowing I'd say men find it hard to tell too, so their vagina's must be like natural vagina's during intercourse as well as to look at. They would not be able to ejaculate as women born female, and there may be a little difference in function as the clitoris will be different, there will be no g-spot and the way to nerves are hooked up will be different so orgasms and the way in which they can be stimulated will differ, but they'd still be able to feel physical sexual feelings through their vagina.

Notice I say 'believe' and similar words and phrases a lot, I'm no expert and don't spend time looking or feeling my friends vagina's! So if you're thinking about a sex change go do the research yourself and talk to other transsexuals. Good luck if you do decide to have a sex change, it can be challenging.

ANSWER:

You can still have intercourse and they try to make it so that you can still achieve orgasm, although in some cases this does not work out as planned.

Neither sex would be able to ejaculate after a sex change.
  

ANSWER:

Well that is an awesome question. I applaud you for thinking to ask it ahead of time. I dont know for sure but I would think that if you couldn't sex change operations would have pretty much stopped after the first or second one. Considering that they are still being done I think your probably safe to still have sex but definetly talk it over with the doctors. That would be a deal breaker for me if I couldn't have a good orgasm anymore. Good luck!

PS : Do not forget to comment below, We need your valuable information in relation to sex change operation or SRS surgery. I encourage to all the readers of this blog to share their stories and experiences. Remember ! "Sharing is Caring".