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Gender Affirmation Procedures / Penile Peritoneum Vaginoplasty

Penile Peritoneum Vaginoplasty Surgery in Thailand

Both hands hold a pink rose that resembles a graft-vaginoplasty.

Ready for a Natural Outcome? Penile Peritoneum Vaginoplasty in Thailand.

Discover the life-changing experience of Penile Peritoneum Vaginoplasty, a groundbreaking procedure facilitated by ImagineHealth in beautiful Thailand. Known worldwide for its expertise in gender affirmation procedures, Thailand boasts top surgeons with specialized skills in this advanced technique. Choose between the excitement of modern Bangkok or the tranquility of a beachside retreat to recover in comfort and privacy. Rest assured that our affordable pricing doesn’t compromise the quality of your care. Take this opportunity to achieve a refined and feminine genital appearance, embracing a newfound sense of self and well-being.

This procedure starts at just:

670,000 THB

18,750 USD* I EUR 17,500*

Explore your Options!

The price provided is for this procedure, but other methods are available. A comprehensive consultation with a doctor will help identify the best treatment plan for you.

* Fluctuations in exchange rates may impact the final cost of services.

Trans man wearing a yellow straw hat relaxes in the swimming pool with both of their hand stretched out after penile-peritoneum-vaginoplasty.
A trans man in white underpants holds a red gerbera after penile-peritoneum-vaginoplasty.
A trans man in a one-piece bikini sits at the corner of the swimming pool with a glass of drink.

Learn even more about this procedure in our FAQ section

Benefits of Penile Peritoneum Vaginoplasty

Risks and Considerations of Penile Peritoneum Vaginoplasty

Mitigate risks and optimize results by selecting a qualified surgeon and openly sharing your medical history. Rely on ImagineHealth for comprehensive assistance in minimizing potential risks throughout your healthcare journey.

The information provided on this page should serve as a helpful guide, not as direct advice from ImagineHealth. You must conduct your thorough research on surgery and consult with a General Practitioner. It is essential to be fully informed before making any decisions.

Experience an Unparalleled Penile Peritoneum Vaginoplasty in Thailand

Elevate your aesthetic journey with ImagineHealth. As independent facilitators, we connect you with top-tier surgeons and hospitals for a seamless experience. Based in Bangkok, we provide dedicated support from consultation to post-operative care, ensuring a personalized and expert-backed breast augmentation journey that prioritizes your well-being.

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Contact us via website, email, or phone – our team is here in Bangkok to ensure you have a smooth and seamless experience.


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We will define a tailored health plan with our treatment partners based on your desires and health information.


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Enjoy the procedure and recovery in Thailand’s beauty, letting stunning landscapes and beaches enhance your health journey.

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Turn your medical procedure into a rejuvenating holiday in beautiful Thailand with ImagineHealth. Experience post-operative recovery in the perfect setting with picturesque landscapes and world-renowned hospitality. Let us seamlessly blend your transformative journey with a memorable vacation, so you can return home fully recovered and rejuvenated.

After a colon vaginoplasty, a trans man in a Bengal stripe bikini smiles while holding hands with their lover by the sea.
A mature trans man poses with one hand touching the side of the face with their eye closed after colon vaginoplasty.

Elevate Your Transformation With Exclusive Regenerative Aesthetics Add-Ons

ImagineHealth seamlessly integrates Regenerative Aesthetics into your plastic surgery, elevating your results and recovery. Our holistic approach in Thailand ensures exceptional surgical care and the latest in regenerative medicine for a truly transformative experience.

Frequently Asked Questions About:
Penile Peritoneum Vaginoplasty

The penile peritoneum vaginoplasty (PPV) is an advanced technique used in gender affirmation surgery. This procedure utilizes the peritoneum, a tissue that lines the abdomen, to create a neo vaginal canal. The peritoneum is similar in function and texture to the actual lining of the vagina, being elastic and self-lubricating. Additionally, it does not produce any smells or odors. The PPV technique involves a small amount of penile inversion for the entrance of the vaginal canal and is performed laparoscopically, resulting in minimal scarring.

The advantages of PPV surgery include the following:
1. PPV surgery can be used for primary and secondary neovagina reconstruction. It is beneficial for patients who have previously undergone sex reassignment surgery and have experienced a loss of depth in their vaginas. It is also helpful for those seeking an upgrade to a more functional vagina with less maintenance.
2. The neo vagina created through PPV surgery is naturally lubricated, elastic, and hairless.
3. There are fewer risks of intestinal dysfunction in PPV surgery compared to sigmoid colon vaginoplasty.
4. The laparoscopic technique used in PPV surgery leaves only 4 tiny, virtually undetectable scars. These scars resemble small freckles and become less visible after 12 months.

Prior to the procedure, it is essential to carefully evaluate all potential drawbacks and associated risks.
1. After the surgery, patients may experience indigestion symptoms, such as dyspepsia, for 1-2 weeks.
2. Temporary changes in bowel habits, such as mucous defecation, constipation, or back pain, may occur in the weeks following surgery.
3. In individuals with circumcised or short penile skin, scrotal skin may be used for vaginal entrance reconstruction, necessitating preoperative or intraoperative hair removal.
4. Initial dilation may be painful for a few weeks due to peritoneal sensitivity. Failure to maintain dilation can result in rapid loss of vaginal depth.
5. Postoperative intraabdominal adhesions occur in approximately 1-2% of cases.
6. Hair removal of approximately 5×6 cm at the base of the penis is necessary.
7. In complex cases, conversion to sigmoid colon may be required.

This surgical procedure is a valuable option for patients with limited alternatives. This includes patients who require a revision surgery, nonbinary patients who do not desire a penectomy, patients who have experienced trauma in the area, patients with insufficient skin from the penile shaft and/or scrotal donor sites, and patients who have been on puberty blockers.
Additionally, it is important to note that this technique is not suitable for individuals who are overweight or have excess abdominal fat, as it can hinder the surgery’s effectiveness.
It is crucial to acknowledge that the new technique for transgender women has not yet undergone long-term studies, and therefore candidates for this surgery must be willing to accept the unlikely rare complications that may arise from this method.

Proper preparation is crucial for a successful outcome in surgery. To ensure this, patients should adhere to the following guidelines:
– Refrain from consuming water and food for at least 8 hours prior to the surgery.
– Abstain from taking any vitamin supplements for a period of 2 weeks before and after the surgery.
– Avoid using hormone supplements for 2 weeks prior to the surgery.
– Quit smoking for a minimum of 1 month before and after the surgery.
– Provide 2 certified documents from psychologists prior to the surgery.
– Prepare by cleaning and shaving the pubic area before the surgery.
– It is necessary to have an assistant on the day of surgery, and driving should be avoided.
– Inform the surgeon about any underlying diseases, medications being taken, or history of allergies.

After undergoing PPV surgery, the patient will remain in the hospital for a few days. On the fourth day, the doctor will remove all dressings, urinary catheter, and drainage, and will also provide instructions on vaginal dilation. If there are no complications, the patient will be discharged from the hospital.

For a successful recovery after sex reassignment surgery with the PPV technique, the patient should rest for one month for the first operation and two weeks for reconstructive surgery. During the healing process, it is important to abstain from smoking and alcoholic drinks for one month before and after the surgery. Additionally, avoid engaging in any strenuous exercise or activities, including sexual intercourse, for two months after the surgery. Hormone supplements should be avoided for two weeks following the procedure.

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