Feminizing surgery Mayo Clinic Colovaginoplasty as gender affirming surgery with sufficient vaginal depth and natural self lubrication . A 43 year old transgender woman from the United States of America, assigned male at birth, has transitioned to female. Colovaginoplasty was Dr. Ley provides vaginoplasty for trans women and non binary patients. She performs a two stage penile inversion technique. The first stage of surgery creates the vaginal canal, clitoris and labia majora. About 5 Surgical and functional outcomes of penoscrotal vaginoplasty in AMAB transgender patients: a comprehensive analysis of patient What transgender women can expect after gender affirming surgery