What exactly happens in a gender-matching operation?

Gender-matching surgery (GA-OP) helps women to men or men to women who do not feel belonging to their anatomical sex.Through the surgery, the primary and secondary sex characteristics can be aligned with the sexual sensation.

What exactly does this mean?

Surgical gender reassignment involves a whole series of medical procedures, some of which are performed individually or in groups.

Not every patient undergoes all procedures.Which operations are performed depends entirely on the wishes and expectations of the patient and should be discussed extensively with the attending physician in advance.

Ga-OP means a comprehensive change for those affected, so the procedure is not suitable for people who have only just begun to deal with their gender identity, but requires a strong understanding of their own Gender (the World Association for the Health of Trans People (WPATH) recommends having lived in the desired gender role for at least one year).

Genital-matching interventions

The procedure for the removal of the male genitals as well as the formation of the female genitals in the GA-OP man to woman takes about 5 to 6 hours, but follow-up surgery can be performed for some procedures.

The individual procedures for a GA-OP woman to man are carried out in several phases, between which there are breaks of about 3 to 6 months, so that the body can recover.

An overview and details about the individual treatments can be found on our websites on the topic of GA-OPs:



After the operation

As with any other operation, the body needs a certain recovery time after GA surgery.In addition, appointments with a family doctor and a psychiatrist are added so that the patient receives the necessary support.

The aftercare varies greatly depending on the operation.For example, in a GA-OP man to woman, the vagina must be widened once or twice a week with a prosthesis for a lifetime, so that it does not become too narrow due to the wound healing process and maintains sufficient depth.

After GA surgery, patients usually feel liberated.However, this feeling does not always arise immediately and there are good and bad days. The changed appearance, the pain and physical complications, the reactions of the outside world: all this has to be processed. Negative feelings after the procedure are not guaranteed, but one must have the necessary emotional strength to cope with these possible consequences. If you don’t feel up to it, you should wait with the procedure and work slowly towards the operation.

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