When Building a Better Vulva, Timing Is Everything: A Personal Experience with the Evolution of MTF Genital Surgery

Gender confirmation surgery for the MTF individual has evolved and improved over time, particularly in terms of form and function. While initially surgeons concentrated on creating a vulva that functioned for receptive penetrative intercourse, in time consumer demand and improved surgical techniques have resulted in a vulva that is esthetically pleasing, functional, and sensate. This first-person account shows how techniques evolved in a critical two-year period between 1974 and 1976.