Techniques vary: The urethra is dissected out of the penis and relocated. The glans penis becomes the clitoris to allow for orgasmic response; scrotal tissue is used to construct the labia and a "neo-vagina" is created. There are several extraordinary us surgeons who do this surgery routinely - and the results are astonishingly good! facial feminization surgery is a subspecialty of plastic surgery. Google wpath.
Answered 10/11/2017
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