Vulvoplasty

Vulvoplasty, also known as zero-depth vaginoplasty,^[1] is a plastic surgery procedure for altering the appearance of one's vulva or constructing a vulva from penile and scrotal tissue (a neovulva).

Labiaplasty, pre- and post-op. The labia minora has been reduced in size.

Vulva after clitoral hood reduction and labiaplasty

Surgery

Reasons for vulvoplasty

Women with congenital disorders or women post-vulvectomy or with genital trauma may receive vulvoplasty for medical reasons.

Women who experience vulvar discomfort may also receive vulvoplasty.

Gender-affirming surgery

Further information: Gender-affirming surgery (male-to-female)

In gender-affirming surgery, some male-to-female transgender patients receive vulvoplasty without vaginoplasty to reconstruct the exterior of female genitalia.^[2]

During clitoroplasty, a clitoris is made from the tissue of the glans penis.^[3]

Labiaplasty can be performed as a discrete surgery, or as a subordinate procedure within a vaginoplasty.^[4] The labia minora are typically constructed from genital skin and the labia majora using skin from the scrotum.^[3]

The urinary meatus in trans women is created by shortening the urethra and positioning it above the neovagina in such a way that the urine will descend downward while urinating in a seated position.^[5]