I'm scheduled for SRS soon.

One of the questions that's been going through my mind is how the neo vagina fares in the long term? In terms of physical appearance and function?

I see many people talking about what it's like just after surgery, months, or years later... but what about how it is for the rest of our lives?

Once it all heals what you have is what you get.

I would say like anything with our bodies with aging it would also effect that area just the same with the old parts.

I would feel that it has a greater chance to be tighter then a cis but depends on how you handled all it after your GCS.

Just my feeling of things.

Maintenance is for a lifetime.

Isabell

Well I am 40 year post - had SRS at 24 - and the changes I have noticed are:

I slowly developed a G-spot some 20 years post-op.

In my 40s my GP took me off HRT and I lost a lot of natural lubrication and struggled with loosing depth.

In my 50s a new endo put me back on HRT and some of the natural lubrication came back but I am still not as deep as I was originally. My gynecologist said "Use it or loose it" so I use it as much as possible LOL!

Other than that, I don't think it's much different that "factory installed equipment".

Considering that I had GCS at age 65, I am not as worried about how the Vg will look in the long run, and how I will in the next 20 years.  As Isabell pointed out, you are going to be doing maintenance work from here on out, and thusly, you will have input (pun intended)  on how it will look on both the long and short (more puns intended) terms.  As Jane experienced, there may be some medical issues along the way that are not in your crystal ball's range that will change things a bit, but TIME does it's thing on all of us.