Summary of MTF Gender Confirmation Surgery

Surgery Time 4.5 hours
Anaesthetic General + Spinal / Epidural
Hospital Stay 6 nights
Reasonably Mobile 7 days
Time Off Work 6 weeks
Sleeping Position Flat
Washing Shower once pack removed
Dressings & Garments 6-12 weeks
Exercise inc. Gym 6 weeks
Full Recovery 6-12 weeks
GRS Scrotal skin for new vaginaMtF Gender Confirmation Surgery/Sex Reassignment Surgery involves conversion of the penile and scrotal tissues into female genitalia. The new vagina (neovagina) is created utilising all of the penile skin and a paddle shaped flap of skin from the posterior surface of the scrotum. This is referred to as the “peno-scrotal flap technique”. The testes are removed (orchidectomy) and the penis is excised (penectomy) at the time of surgery. The new urethral opening, meatus (for urinating) is fashioned and the labia are created using the anterior scrotal skin. Clitoroplasty can either be cosmetic or functioning using a “sensate glans flap” taken from the glans of the penis.

Before & Afters

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  • To create natural looking female genitalia
  • To create good vaginal depth and calibre to permit vaginal intercourse
  • To positively address dysphoria of the genitals associated with gender dysphoria


LTC aims to ensure transgender individuals achieve a good functioning neovagina with the peno-scrotal inversion technique including a depth of up to 20 – 22cm. The majority of our patients also have the ability to orgasm following surgical recovery.

Frequently Asked Questions

  • Do I need a referral letter prior to GCS?

  • What’s the purpose of a referral letter for GCS?

  • Do patients need any tests prior to GCS?

  • Do patients need hair removal prior to GCS?

  • How much does it cost?

    The price of MtF GCS/SRS is approximately £31,160. This includes all of your pre and post operative care up to one year, as well as your stay in hospital. For an exact quotation please book a consultation with a member of our team.
  • What happens at the consultation?

    You will meet your surgeon and one of our nurses who will ask you about your goals and concerns. A full medical history and examination will be done, before agreeing a plan for you and discussing the surgery, recovery and risks in detail. You may be requested to undergo medical investigations such as blood tests, ECG or other, as medically advised by your surgeon.
  • How do I prepare for my surgery?

    Prior to surgery you must have had a psychological and psychiatric assessment by a gender specialist to discuss the surgery and whether it is the right time for you to proceed. They must provide you with a letter of support prior to proceeding with surgery. Once you have your consultation and your surgery is booked, you will have a pre-operative assessment with your nurse 2 weeks before surgery, during which any outstanding questions will be answered. Your preparation for surgery will be reviewed and information will be provided regarding medications, diet, bowel preparation and post operative care. You will not need to stop your hormone therapy, however if you are taking oral oestrogen, we will ask you to change to transdermal patch or gel 4 weeks before your surgery. You must stop smoking a minimum of 2 weeks before your surgery and up to 12 weeks postoperatively.
  • What happens on the day of my surgery?

    On the day of your surgery you will wake up in the hospital as you will have been admitted the night before. You will be assessed again by your surgeon and your anaesthetist before going to the theatre. The hospital team will complete the necessary pre-operative health checks. After your surgery, you will be bed bound and closely monitored by your surgeon and the hospital medical team. They will assist you with anything you need. You will be tired and spend most of this time resting.
  • What aftercare will be provided for me?

    LTC provides a premium aftercare service. Your surgeon will visit you in hospital daily for the first week. You will then be assessed in clinic 2 weeks, 6 weeks, 12 weeks, 6 months and 1 year post operatively to monitor your progress. You will be provided with post-operative manual lymphatic drainage therapy to reduce swelling and promote better healing. LTC also has a nurse on call 24/7 in the event you have any emergencies following discharge from hospital. You will be seen immediately if medically required or appropriate advice will be provided.
  • What happens if there is a complication?

    In the event of a complication you will be medically assessed as soon as possible by your surgeon or a qualified member of our nursing team. In the unlikely event you need to return to theatre this will be arranged for you by our team. Hospital and anaesthetist fees may be charged, however there will be no surgical fee. Further information is outlined in our terms and conditions.

“Professional, and absolutely wonderful”

5 5 Star Rating Written onMay 17, 2018 The team at the London Transgender Clinic is not only incredibly helpful and professional, but they are absolutely wonderful, reassuring and lovely people to be around! I’ve always struggled with first meetings, but with Dr Lenihan and Mary O’Brien, they’ve both eased my mind, supported and advised me throughout the process, well above and beyond first class quality! I started transitioning MTF just over a year ago, and they have been an absolute wealth of knowledge and support over that time.  

by Lauren


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