Male to Female Surgery (MTF)

Male to Female Sex change surgery involves the removal of the penile muscle and testicles reshaping it to appear more female thereby constructing a vagina. An incision is made into the scrotum, the flap of skin is pulled back and the testis is removed. The skin is stripped from the penis but is left attached and the urethra is cut. The excess skin is used to create the labia and the vagina.


Risks and complications

Patients must keep in mind surgeon’s instructions to prevent potential risk and complications following surgery. Possible complications include: Hematoma (bleeding), delayed wound healing, swelling, scarring and numbness or change in sensation, infection, hypertrophic scarring, partial or complete flap necrosis, intra-vaginal hair growth, recto-vaginal fistula.

Care after surgery

You will feel some discomfort and soreness, which you can easily control with pain medication.
You may feel some numbness in your chin for up to 3 months and a stretching sensation around your chin for 1 week. Most of the swelling will be gone by 6 weeks, depending on the type of procedure you had. You might have to stick to a liquid or soft diet for at least a day or two. You’ll probably have the outside bandage removed within a week of surgery. You may be asked to wear a brace while you are sleeping for 4 – 6 weeks. You can resume light activity the day of surgery. You should be able to return to work and your usual activities within 7 – 10 days.

Preparation prior to surgery


Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.


Blood and urine samples will be collected for routine preoperative laboratory tests.


Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.


You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.


Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.