When is sex change surgery performed?
The time that people begin feeling of belonging to the opposite sex is 2-3 years of age. According to the result of many researches, early treatment would prevent pointless sufferings. Physical outcome of an early treatment can be expected to be more reasonable by contrast with starting later, particularly MFs (male to female). This is a huge and lifelong advantage instead of having to live with a deep voice and other scar. Thus, the former the SRS is performed, the easier transsexuals can fiddle with themselves according to their sex identity, and they can shun the confusion about themselves. But SRS is usually performed at the age of 18-21. There are two motives for this long delay. Foremost, most children with gender identity disorder will not grow up to become transsexuals. Next, adolescents in many countries are still lawfully dependent on the permission of their parents when deciding on medical treatment.
Trans-sexuals feelings after SRS?
Most of the transsexuals who have performed SRS were pleased with sex change itself. yet, many of them were disgruntled with the way their new physical Appearance. The cause for dissatisfaction is first, MFs have to do with maintenance of bodily features and aspects of the in general appearance that could not be distorted totally by either surgery or hormonal treatment. For instance, remains of the beard, large feet and hands, quality of the voice, and perseverance of Adam’s apple. Social pressure on woman to pay more concentration to their appearance is also one of the bases. FM transsexuals are typically dissatisfied with their new genitals. But, the most significant thing is that they could live in the new gender role emotion that their identity is fitting to themselves. They have more relaxed relationship with other people around their environment.
Colon-Vaginoplasty Technique" Vaginoplasty
You will have two options to do this surgery about delayed or immediate “ Sigmoid Colon-Vaginoplasty Technique” .if your penile skin is very short and small amount of your scrotal tissue and refuse to obtain other skin for grafting to line in your vaginal canal or inadequate in infrequently rare for some cases with healthy and body weight not over 200 lbs with stopping smoking at least 2 weeks before surgery or non smoking person with flat belly may need to do "Sigmoid Colon-Vaginoplasty" do in one stage( Immediate) . In various cases that it will be not suitable cases to do this procedure ,they have been done by this technique in subsequent step after 6 months(delayed technique) such as the case is not superior tummy , the weight is over than 200 not more than 225 lbs or maybe need to do this surgery later after 6 months.
In the delayed type, it is improved for some cases that have ever done before SRS c Penile inversion or Scrotal skin graft with vaginal reduction by the time or for some reason that and need to gain more depth with normal lubricant or they ever had overweight and can not do instantly but they will do afterward.
Surgeon construct the labia majora , sensated Labia minora, clitoral hood and sensated clitoris in the meantime. The surgeon also constructs labia majora and labia minora by using some fraction of your scrotal and sensated prepuce to make this part of female appearance. Some don’t use the delayed type for this process. You will get natural labia major and minora on this occasion. The surgeon makes a clitoris by retaining a small section of the glans penis with its blood supply and nerves intact, and fit its position into an suitable site above the urethral meatus. Since the nerves of glans in phenotypic male are similar to the nerves of the clitoris in a female which patients can have emotion of erotic sensation like naturally born female and maybe having this feeling sensation to reach orgasm in some case but there is not assurance that in all of the cases, this is the particular sense.

