This is the life-changing surgery that thousands of men around the world have undergone.
Shocking footage has now revealed the intricate details of exactly how surgeons carry out a gender reassignment operation.
The animation, shared by the European Society of Urology, shows the steps doctors follow to create a vagina.
It describes the entire complex process, from the removal of the penis and testicles to the creation of orgasmic genitalia.
According to the NHS, there has been a dramatic increase in the number of people undergoing gender reassignment treatment in the last decade.
An incision is made in the scrotum on the operating table, creating a flap. It is then retracted and both testicles are removed

After that, the surgeon begins to dissect the penis after cutting the skin of the penis and pressing against the base
Since the Gender Recognition Act came into force in 2004, 4,910 transgender people in the UK have received a Gender Recognition Certificate.
And in the United States, nearly 9,000 transgender surgeries are performed each year.
Men who want to become women must meet certain criteria before going under the knife.
You must not only have lived as a woman for at least 12 months.
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This is before we have an assessment to make sure they are fit and healthy enough for the operation.
The video shows every step of the operation, starting with placing the patient on the operating table.
Surgeons ensure that the patient’s knees are bent and feet are turned flat and outward.
On the operating table, a catheter is inserted into the urethra to ensure that the bladder remains empty and any urine is collected in a collection bag.
An incision is then made in the scrotum, creating a flap. It is then retracted and both testicles are removed.
Then the surgeon begins to dissect the penis.
They separate the dorsal nerve bundle (which provides penile sensation), the glans at the tip of the penis, and the urethra (which carries semen and urine) from the main shaft of the penis.
While lifting the patient’s legs, the surgeon cuts as close to the pubic bone as possible to remove the main fleshy parts of the penis, leaving only the urethra behind.
The urethra is cut shorter and can be placed in a new location, similar to where a naturally born woman would have her urethra.
Now the vagina is taking shape.
This is done by using the excess skin from the penis and foreskin to create a long, flaccid tube shape, which is then inverted to replicate a vaginal canal.
This is known as “Neo-Meatus”.
To ensure that the patient can have sex, the urethra is sewn into the vaginal canal, expanding it slightly around the circumference.

Surgeons separate the dorsal nerve bundle (which provides penile sensation), the glans at the tip of the penis and the urethra (which carries semen and urine) from the main shaft of the penis

According to the NHS, there has been a dramatic increase in the number of people undergoing gender reassignment treatment in the last decade. Since the Gender Recognition Act 2004 came into force, 4,910 transgender people have been awarded a Gender Recognition Certificate in the UK.
Then the clitoris is formed from the glans.
The surgeon makes incisions where a clitoris would normally sit.
The head of the penis is cut smaller and sewn to the genitals.
After the clitoris is in place, surgeons cut further down to the anus and remove the main tendon of the anus, the centrum tendineum.
This space between the rectum and the base of the prostate is shaped to create the new vagina before the area is sutured.
To create the vulva, the external female genitalia, the skin of what used to be the scrotum is molded to become the labia minora and majora – the inner and outer “lips” of the vagina.
The surgeon makes strategically placed incisions to make it look like natural skin in the labia.
Research has shown that many patients can enjoy a satisfactory sex life after surgery.
In a study conducted on 24 patients at the University of Tübingen, Germany, it was reported that all patients were able to achieve an orgasm.
Although life-changing, it is just one of many surgeries trans women undergo during the reassignment process.
Many people also undergo surgeries to feminize their jaw, nose and larynx.
However, these operations are not without risk, especially when it comes to gender reassignment surgery.
Because the genitals are not a clean area, there is a risk of infection and delayed healing, he said Marc Pacifico, Plastic Surgeon and member of the British Association of Aesthetic Plastic Surgeons (BAAPS).
He said: “The operation is not easy.
“As with any operation there are risks, but the genitals are not a clean area – so there is a risk of infection and delayed healing.
“You can get stenosis, a narrowing of the vagina. Many people undergoing surgery need dilators to open them up.
“There is a risk of bleeding or the skin – like the new clitoris – dies off.”
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Crystal Leahy is an author and health journalist who writes for The Fashion Vibes. With a background in health and wellness, Crystal has a passion for helping people live their best lives through healthy habits and lifestyles.