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Skin graft vs colon vaginoplasty

Started by Charlotte Kitty, March 25, 2026, 04:30:01 AM

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Charlotte Kitty

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 😻
Agender / genderqueer MTF
HRT April 25
Name change Sept 25
FFS March 26
GRS Feb 27
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Gina P

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.
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Charlotte Kitty

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 😻
Agender / genderqueer MTF
HRT April 25
Name change Sept 25
FFS March 26
GRS Feb 27
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    The following users thanked this post: Lori Dee

Tills

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!
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Allie Jayne

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

Charlotte Kitty

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.
Agender / genderqueer MTF
HRT April 25
Name change Sept 25
FFS March 26
GRS Feb 27
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