leaving some of the skin of the scrotum

the urether is shortened

and the erectile tissues removed

now comes the most critical incision: the penile nerves are separated

these nerves must be preserved intact to enable orgasm

separation is complete

the vaginal cavity is formed

Rather shallower than in genetic females, about 12 cm; the remains of the penis are cut off

and the scrotal skin tissue is inverted

and forms the vaginal lining

A stent is inserted to prevent the vagina from growing together and closing

and a special adhesive is injected

to bond the inverted scrotal tissue to the abdominal flesh

finally the labia are formed, and also the clitoris from the glans.