MTF vaginoplasty at TranPlastic in Huntington Beach is a gender-affirming surgical procedure that creates a functional vagina for transgender women. Our compassionate, experienced surgeons provide comprehensive care throughout your transition journey.

What Is MTF Vaginoplasty?
Vaginoplasty is a gender confirmation surgery that creates female genitalia. The most common technique is penile inversion, which uses penile and scrotal tissue to construct the vagina, labia, and clitoris.
Benefits of vaginoplasty:
- Aligns physical body with gender identity
- Creates functional, sensate vaginal canal
- Enables sexual activity with sensation
- Reduces gender dysphoria
- Improves quality of life and mental health

The Vaginoplasty Procedure
Penile Inversion Technique
- Orchiectomy – Testicles are removed
- Penile disassembly – Penile skin is preserved for vaginal lining
- Vaginal canal creation – Penile skin forms the vaginal canal
- Labia formation – Scrotal skin creates labia majora and minora
- Clitoroplasty – Glans tissue forms a sensate clitoris
- Urethral repositioning – Urinary function preserved
Procedure time: 2-4 hours under general anesthesia
Alternative: Peritoneal Vaginoplasty
For patients with limited penile skin, peritoneal tissue from the abdomen can be used to create the vaginal canal, providing natural lubrication.
Recovery Timeline
- Week 1: Hospital stay with catheter and packing in place.
- Weeks 2-4: Dilation begins. Gradual return to light activities.
- Months 2-3: Continued dilation schedule. Most swelling resolves.
- Months 6-12: Complete healing. Final results visible.
Dilation requirements: Lifelong dilation is required to maintain vaginal depth and width.
Frequently Asked Questions
How deep will my vagina be?
Typically 4-6 inches (10-15 cm), depending on available tissue and surgical technique.
Will I have sensation?
Yes, the clitoris is constructed from sensitive glans tissue and retains erotic sensation. Most patients report satisfying sexual function.
Can I have orgasms after vaginoplasty?
Yes, most patients (80-90%) report ability to achieve orgasm after full healing.
How long before I can have sex?
Sexual activity is typically permitted after 3 months, pending healing confirmation.
Is vaginoplasty covered by insurance?
Many insurance plans cover gender-affirming surgery. We help navigate authorization and work with your insurance.
Requirements for Surgery
- Persistent, well-documented gender dysphoria
- Letters from mental health professionals
- Hormone therapy (typically 12+ months)
- Real-life experience (per WPATH guidelines)
- Medical clearance
About Dr. Tuan Tran
Dr. Tuan Tran specializes in gender-affirming surgery, providing compassionate, expert care for transgender patients. With advanced training in vaginoplasty techniques, Dr. Tran helps patients achieve their authentic selves.
Insurance & Cost
We work with most insurance providers and offer financing options. Our team assists with pre-authorization and appeals.
Locations We Serve
Main Location: Huntington Beach, CA
Serving Orange County: Newport Beach, Fountain Valley, Westminster, Garden Grove, Costa Mesa, Seal Beach
Contact Us
Ready to take the next step in your transition? Contact TranPlastic today.
Phone: 714-839-8000
Contact Page: Tran Plastic Surgery Contact Page