Skin Graft Vaginoplasty
Skin Graft Vaginoplasty for Your Personalized Gender-Affirming Surgery
Skin Graft Vaginoplasty (SGV) is a trusted and widely performed technique in gender-affirming surgery, particularly for those transitioning from male to female (MTF). This procedure uses grafted skin from a donor site to construct a natural-looking and functional vaginal canal, offering patients a safe and effective way to align their physical body with their gender identity.



What Is Skin Graft Vaginoplasty?
Skin Graft Vaginoplasty involves the removal of penile and scrotal skin to create the external genitalia while utilizing additional skin grafts to form the vaginal canal. The graft is often taken from the inner thigh or abdomen, ensuring sufficient tissue for optimal depth and function. What’s more, this technique is particularly beneficial for patients who have undergone hormone therapy and may not have enough penile skin available for the desired vaginal depth.
At APS Clinic, we prioritize patient safety, precision, and comfort. The procedure typically lasts 4–6 hours under general anesthesia and followed by a structured post-operative care plan to ensure smooth recovery and long-lasting results.

Achieving Excellence in Skin Graft Vaginoplasty
Dr. Ae’s extensive expertise and hands-on experience with gender-affirming surgeries allow her to provide exceptional care tailored to each patient’s needs. Here are her key insights into the procedure:
For patients opting for SGV, Dr. Ae emphasizes the importance of pre-surgical counseling to address concerns, set realistic expectations, and discuss long-term care plans.
Preparing for Your Skin Graft Vaginoplasty: Key Pre-Op Insights
Preparing thoroughly is crucial to ensuring the success and safety of your Skin Graft Vaginoplasty. At APS, we understand that this transformative journey begins long before the surgery. Therefore, we provide a detailed roadmap to help you navigate the pre-operative phase with confidence and clarity. Following these carefully designed pre-operative guidelines sets the stage for a smooth surgical experience and successful recovery.
Psychological Readiness and Medical Clearance
Undergoing a gender-affirming procedure like Skin Graft Vaginoplasty requires both mental and physical preparation. A vital first step is obtaining medical clearance from two qualified psychiatrists, affirming your readiness for surgery. In other words, this process ensures that the procedure aligns with your goals and supports your mental health. After securing these approvals, a thorough physical examination will be conducted to confirm your overall health and readiness for surgery.
Lifestyle Adjustments for Optimal Results
We recommend certain lifestyle adjustments to optimize your surgical outcomes. For example, stopping hormone therapy at least one month before surgery minimizes risks and ensures hormonal balance during the procedure. Similarly, you should stop taking vitamins, supplements, alcohol, and smoking well in advance to promote better healing. Above all, maintaining a nutrient-rich diet, especially in the weeks leading up to surgery, enhances your body’s ability to recover post-operatively.
Preparing Your Body for Surgery
As the surgery date approaches, additional steps are required to prepare your body for the procedure. Two to three days before surgery, transitioning to easily digestible foods is advised, reducing residue in the intestines. Additionally, the night before surgery, you’ll use colon-cleansing medication provided by APS to ensure a clear surgical site. It is equally important to refrain from eating or drinking after midnight to ensure your body is ready for anesthesia.

Skin Graft Vaginoplasty Recovery and Post-Operative Care: What to Expect
Healing after Skin Graft Vaginoplasty is a journey that requires dedication, patience, and proper care. Taking each step of the recovery process seriously is crucial to achieving optimal results and ensuring your long-term well-being. At APS, we prioritize patient education, so you feel fully prepared to manage your recovery with confidence. In other words, our comprehensive support system is designed to guide you through every phase of healing.
Initial Recovery
The first stage of recovery focuses on rest and careful monitoring to allow your body to heal. Most patients can urinate independently within 10 days after surgery, marking a significant milestone in their progress. After that, returning to light daily activities is typically possible within 10–14 days. During this time, you must follow your surgeon’s guidance regarding mobility and diet. Above all, a soft diet rich in nutrients and plenty of fluids is recommended for the first month, as it provides essential support for the healing process.
Dilation and Vaginal Maintenance
Dilation plays a critical role in maintaining the depth and structure of the neovagina. Regular and consistent dilation helps prevent narrowing and ensures long-term functionality. APS offers detailed instructions and provides patients with resources such as QC lubricant, specifically chosen for its optimal texture and comfort during exercises. In other words, proper dilation practices directly contribute to the success of your procedure. Our team is always available to address any concerns and provide guidance as you establish a routine.
Best Sleeping Positions
Finding a comfortable and safe sleeping position is an essential part of post-operative care. During the initial week, lying on your back with a pillow under your knees minimizes strain on the surgical site and promotes healing. Afterward, transitioning to a side-lying position with a pillow between your legs can provide additional support. However, it’s crucial to listen to your body and make adjustments as needed to avoid unnecessary discomfort.
Sexual Activity
Engaging in sexual activities is typically safe around the three-month mark, although it’s essential to follow your surgeon’s recommendations. Patients often describe this milestone as a moment of fulfillment, with over 98% reporting satisfaction with their outcomes. Similarly, any concerns about resuming intimacy can be discussed during follow-up consultations, ensuring that you feel fully prepared and confident.
Skin Graft Vaginoplasty SRS Cost and What’s Included
At APS Clinic, transparency in pricing is a cornerstone of our patient care. The Skin Graft Vaginoplasty package includes:
- Pre-surgical consultations and assessments
- Surgical procedure under general anesthesia
- Hospital stay and post-operative care
- All necessary dilation tools and aftercare materials
Final pricing starts from 288,000 THB ($8,300), depending on individual requirements. Additional fees may apply for extended care or specific requests.
*We also offer an additional Service Package that includes transport to all necessary appointments, including airport pickups, hospital visits, etc.
Considering Skin Graft Vaginoplasty?
Let our experienced team guide you on this transformative journey. Contact us today for our before and after male to female sex change photo references & a personalized consultation with Dr. Ae and take the first step toward your authentic self.