Susan's Place Transgender Resources

I'm going to get GRS next February in Thailand. I definitely have the budget for scrotal skin graft type vaginoplasty as a minimum. However I could possibly stretch to colon vaginoplasty.

I understand that the colon technique offers natural lubrication and the best possible depth. But I need to consider if it's a benefit for me.

I'm not at all likely to have sex for starters due to my relationship. I would play with myself and experiment with toys and such. I'm thinking in my case the scrotal skin method would give me what I need. However I welcome any feedback from others that may help me decide. It's better to get it right rather than go for revision later.

But the price is £3000 more for colon vaginoplasty and of course increased risk to another functional area e.g. digestive system. So needs to be worth the risk to be considered.

Thanks,
Charlotte 😻

When I had my GRS, I had researched this technique. The bad outweighed the good for me.         
   Problems with the colon graft. Possible odor problems being the greatest. Much greater chance of complications some due to the bacteria from the colon. Possible digestive tract tears or infections. Longer recovery time. From my understanding this was only used if there was not enough skin available for the other techniques.
    I choose the peritoneal graft, which is supposed to provide some natural lubrication Bad of that is it sometime provides to much and you have to wear a pad. I have not experienced that after the first 6 months and have been generally happy with the results. Coming up on the 2 year mark this June.

Thanks for the information Gina. I have seen options for peritoneal pull through, but far too expensive for my budget unfortunately.

At the moment I thinking scrotal graft is sufficient but I still have time to decide.

Charlotte 😻

Good luck @Charlotte Kitty 

I think @Gina P 's idea of weighing up plus and minus points of the different techniques is a good way of considering the choices.

I love that you have put GRS Feb 27 on your profile. Go girl!

Quote from: Charlotte Kitty on March 25, 2026, 08:04:49 AMThanks for the information Gina. I have seen options for peritoneal pull through, but far too expensive for my budget unfortunately.

At the moment I thinking scrotal graft is sufficient but I still have time to decide.

Charlotte 😻

I am assuming you mean a Tunica Vaginalis graft for the vaginal canal. Scrotal tissue is also used in Penile Inversion surgery, but mostly externally. Tunica Vaginalis is actually peritoneum tissue which is pulled down to form the scrotum, and has the same qualities, though there can be less tissue to work with. I have heard of it being used in hybrid surgeries where the vaginal entrance is penile tissue, and the tunica vaginalis lines the rest of the canal.

As there are different techniques, and this is for the rest of your life, it's best to study the different techniques and fully understand what your surgeon is planning for you. I know a couple of people who had colon style vaginoplasties, and they are happy with results.

Hugs,

Allie

Thanks all for your help. I have decided to go for the scrotal skin graft technique.  Quote simply I don't need much depth. It's not worth increasing cost and liklihood of complications for something I won't benefit from.

I don't see myself getting a new partner anytime so I'm happy to proceed. Exciting.

Quote from: Allie Jayne on March 31, 2026, 11:46:24 PMI am assuming you mean a Tunica Vaginalis graft for the vaginal canal. Scrotal tissue is also used in Penile Inversion surgery, but mostly externally. Tunica Vaginalis is actually peritoneum tissue which is pulled down to form the scrotum, and has the same qualities, though there can be less tissue to work with. I have heard of it being used in hybrid surgeries where the vaginal entrance is penile tissue, and the tunica vaginalis lines the rest of the canal.

As there are different techniques, and this is for the rest of your life, it's best to study the different techniques and fully understand what your surgeon is planning for you. I know a couple of people who had colon style vaginoplasties, and they are happy with results.

Hugs,

Allie

My doctor used peritoneum tissue in my surgery but only a small patch. According to him, to much and the vagina weeps, also it likes to seal together where it touches itself, so he uses only a patch with scrotal tissue and inversion. So I would say it was a hybrid technique. 

Quote from: Gina P on April 01, 2026, 07:39:24 AMMy doctor used peritoneum tissue in my surgery but only a small patch. According to him, to much and the vagina weeps, also it likes to seal together where it touches itself, so he uses only a patch with scrotal tissue and inversion. So I would say it was a hybrid technique.

I think that's what they call PPV Peritoneum Pull through Vaginoplasty. Its one of the better ones for depth but is 750,000THB compared to 350,000THB I'm paying. These kind of options are great if you need the depth and lubrication.

Charlotte

My surgeon always recommends the penile inversion technique as a first surgery. The primary reason is that if there is a complication that requires a massive revision then the other two options (PPT and Colon) are still available to the surgeon. It is impossible to perform a penile inversion vaginoplasty once the other surgery techniques have been used and/or failed. I am very happy with my penile inversion vaginoplasty. I was originally interested in the PPT method, but following my consult with Dr McGinn, I was convinced that she was the right surgeon and this was the best method for me. I am very pleased with the aesthetics and function of my vagina. I am at 5 months post op and have had no complications.

Quote from: Zoey Addisyn on April 03, 2026, 01:57:26 PMMy surgeon always recommends the penile inversion technique as a first surgery. The primary reason is that if there is a complication that requires a massive revision then the other two options (PPT and Colon) are still available to the surgeon. It is impossible to perform a penile inversion vaginoplasty once the other surgery techniques have been used and/or failed. I am very happy with my penile inversion vaginoplasty. I was originally interested in the PPT method, but following my consult with Dr McGinn, I was convinced that she was the right surgeon and this was the best method for me. I am very pleased with the aesthetics and function of my vagina. I am at 5 months post op and have had no complications.

Thanks Zoey for your reply. Really pleased that your surgery went well and you're happy with the result. I'm pretty much of the same conclusion, keep it simple and reduce the risks. My surgeon doesn't do penile inversion but scrotal skin graft. However it's a similarly basic procedure that doesn't interfere with too many functional areas like colon and PPV do.

Interesting you note about retaining capacity to revise if something goes wrong and needs revision. That's a good point and option to keep open.

On a side note I'm using my credit card to make payments. This means that if it goes wrong and I need revision, I can use something called section 75. This makes the card company equally as liable to fix the issue as the surgeon. As such if the surgeon doesn't sort it, I can claim the costs for revision from the card company!

Charlotte 😻

Quote from: Charlotte Kitty on April 03, 2026, 02:34:40 PMOn a side note I'm using my credit card to make payments. This means that if it goes wrong and I need revision, I can use something called section 75. This makes the card company equally as liable to fix the issue as the surgeon. As such if the surgeon doesn't sort it, I can claim the costs for revision from the card company!

Dr McGinn doesn't charge for revisions so I'm really happy about that.

Quote from: Zoey Addisyn on April 05, 2026, 05:35:52 PMDr McGinn doesn't charge for revisions so I'm really happy about that.

I'm hoping no revision will be needed. I'll only go through that if absolutely necessary. Cosmetic wise I'm not really bothered about.

Charlotte 😻

I had a call with my surgeon today and all finalised on having scrotal skin graft technique. The scrotal skin is thinned and used to construct the vaginal canal instead of penile inversion. The penile skin is used elsewhere. This should give around 6" depth all being well. I did see a detailed video experience someone posted on YouTube of my surgeons GRS results. It was in 2014 but positive and backs up the other reviews I've found.

I may get breast augmentation at the same time if affordable as should be more cost effective. Placing under the muscle means if they grow more it's not an issue, although could end up massive if they did!

Charlotte 😻

Great news about your call with the surgeon Charlotte. You may have said elsewhere but which surgeon / clinic did you choose?

I'm interested about the scrotal skin graft technique and will be following your progress with great excitement.

Tills

Quote from: Tills on April 16, 2026, 10:34:35 PMGreat news about your call with the surgeon Charlotte. You may have said elsewhere but which surgeon / clinic did you choose?

I'm interested about the scrotal skin graft technique and will be following your progress with great excitement.

Tills

I'll definitely feedback when I'm there getting it done. It's with Dr Saran at Wansiri hospital.


Charlotte 😻

Well I've added breast augmentation to my plan as its not much increase to do that. I  expect 450cc will be suitable and take me to a D / E as I stand. If I naturally grow, realistically I could peak out at F/G in a few years. I'm happy either way!

Quote from: Charlotte Kitty on April 17, 2026, 04:39:45 AMWell I've added breast augmentation to my plan as its not much increase to do that. I  expect 450cc will be suitable and take me to a D / E as I stand. If I naturally grow, realistically I could peak out at F/G in a few years. I'm happy either way!

Have you done the Rice Test to know what size you are looking for? Since implants are measured in cc and not cup size, the Rice Test helps you decide how many cc increase you want to achieve.

Quote from: Lori Dee on April 17, 2026, 10:37:31 AMHave you done the Rice Test to know what size you are looking for? Since implants are measured in cc and not cup size, the Rice Test helps you decide how many cc increase you want to achieve.

Ive not done that but surgeon said we would work the size out when I arrive. Sounds interesting though?

Check it out:

Quote from: Lori Dee on April 17, 2026, 10:52:55 AMCheck it out:

Thats great thanks. Ill give it a try as can then derermine how much weight i can get away with begore my back struggles!

Charlotte 😻

Quote from: Charlotte Kitty on April 17, 2026, 12:53:05 PMThats great thanks. Ill give it a try as can then derermine how much weight i can get away with begore my back struggles!

Charlotte 😻

It isn't as heavy as silicone gels, so weight is not factored into the test. Because of the way implants are inserted, the body adjusts to the weight. The Rice Test is more for size estimates, so you can see what it looks like and whether it creates problems if it's too big.

Quote from: Lori Dee on April 17, 2026, 01:15:00 PMIt isn't as heavy as silicone gels, so weight is not factored into the test. Because of the way implants are inserted, the body adjusts to the weight. The Rice Test is more for size estimates, so you can see what it looks like and whether it creates problems if it's too big.

Is too big ever a problem apart from weight?!! I believe there is a limit how big they can go without pre stretching and doing two stages. 😀

Quote from: Charlotte Kitty on April 17, 2026, 01:18:53 PMIs too big ever a problem apart from weight?!! I believe there is a limit how big they can go without pre stretching and doing two stages. 😀

I want to go big, but I don't want to look like a cartoon character either. Just a nice balance is fine.

Quote from: Lori Dee on April 17, 2026, 01:26:02 PMI want to go big, but I don't want to look like a cartoon character either. Just a nice balance is fine.

I am considering going ridiculously if the surgeon says its possible. Only got one life so why not!