Case selection
Once the psychiatrist has certified surgery can be undertaken.
Person should be essentially healthy.
Preoperative - The surgery is to be done under General anaesthesia.
Operative steps
The Breast needs to be removed.
Uterus and ovaries are to be removed. Vagina closed.
vagina is very vascular and after closure for almost 4-6 weeks some amount of blood stained serous discharge could continue.
To create a new Phallus
one could take the groin skin and create a tube out of it
or take the forearm skin and connect it to pubic area and anastmose the vessels.
Or one could elongate the clitoris and thicken- stiffen it.
All this is to be decided with patient in terms of required size, time availability etc.
Creating a phallus could take almost 6 weeks.
Once phallus is ready and there is a urinary passage through it. Scrotum can be made, Implants can be put in the phallus and for the testis.
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