
The Gender reassignment surgery
First the ureter is catheterised

then the skin of the penis and scrotum is cut and removed

and the testicles are removed

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 b

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

bbbband forms the vaginal lining

bbb

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.