What is Zero-Depth Vaginoplasty?

Posted: February 4, 2018

What is Zero Depth Vaginoplasty- also known as Zero Depth Bottom Surgery?

This is a procedure we are being requested to do more and more, and in fact I’ve just completed one this morning, which went extremely well, and took about four hours. What it is, is basically is male to female bottom surgery, where we do all the steps except we do not create a vaginal canal. Everything from the outside looks the same, functions the same, but whereas we usually have a vaginal canal that’s a few inches deep, instead we just have a dimple that’s a little less than an inch deep where the vagina would be.  If you are curious to see what our results look like you can take a look at photos on our site.

Zero depth bottom surgery is a really growing request we find from patients, and there are a number of different reasons patients will opt for this, but the one thing all of these patients have in common is they are not interested in having a vaginal canal. The reasons behind this can be that the patients are not interested in having penetrative sex, having a vaginal canal might not be right for them, for example our non binary patients, who do not necessarily identify as being male or female, may opt for this procedure. There are a variety of different reasons, but there are some benefits that go along with zero depth surgery which I will discuss in the next video.

So like any other gender conformation surgery nobody undertakes this surgery lightly, and it is always good to discuss whether or not this surgery is for you, extensively with your surgeon, your partner, your mental health professional but if this is the right procedure, there are a few benefits that go along with it which our patients like.

  1. If you do not have a vagina you do not have to maintain it and that includes dilation. Our vaginoplasty patients have to commit to a couple of months of dilation five times a day for twenty minutes, so this is not a light undertaking. Patients are pleased to skip this.
  2. You do not have to do hair removal because we are not lining a new vagina with your own tissue, patients find this is a bonus as well.
  3. The risks of surgery do lessen and this is because we do not have to make that canal between your bladder and your bowel, so you are less likely to get surgical complications, and as a result your recovery will be quicker.
  4. You do not have to do a bowel prep. and take all of those laxatives before surgery to clean out your bowel, and that’s because the risk of a bowel injury is very low with this procedure.

However this is still major surgery and is certainly not an outpatient procedure, our patients do generally stay in hospital for 2-3 days.

Dr. Sidhbh Gallagher
University Gender Affirmation Surgery

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