SRS PPV Surgery: Why Penile-Peritoneal Vaginoplasty Is Leading the Future of Gender-Affirming Surgery

What Is SRS PPV Surgery?

SRS PPV Surgery, or Sex Reassignment Surgery using the Penile-Peritoneal Vaginoplasty technique, is a groundbreaking gender-affirming procedure that uses the peritoneum—the lining of the abdominal cavity—to create a neovagina. As stated in the American Journal of Obstetrics & Gynecology, this method offers advanced outcomes in both aesthetics and function, including self-lubrication, depth, and long-term tissue health, especially for patients with insufficient genital skin.

At APS Gender Care Clinic in Bangkok, we specialize in PPV using laparoscopic techniques for minimal invasiveness and a faster recovery. Our expert surgeons have performed hundreds of carefully selected cases, averaging 5–10 per month, ensuring focused, high-quality care for every patient.


Why Is SRS PPV Gaining Popularity?

The shift toward PPV in 2024 isn’t coincidental—it’s driven by clear benefits:

  • Self-Lubrication: The peritoneal lining produces natural moisture
  • Minimal Scarring: Laparoscopic methods reduce visible scars
  • Reliable Depth & Appearance: A deeper vaginal canal and more natural look
  • Low Risk of Hair Growth or Odor: Unlike penile inversion, PPV avoids skin graft complications
  • Long-Term Satisfaction: Studies show higher long-term sexual satisfaction and reduced need for revisions
A female doctor in a white coat and beige scrubs consults with a transgender woman patient in a calm, professional setting — illustrating a supportive discussion about SRS PPV (Penile Peritoneal Vaginoplasty)

“PPV offers a balance of depth, function, and appearance that makes it the gold standard for many trans women today.” — Dr. Ae, leading SRS surgeon at APS Gender Care

Comparing SRS PPV to Other Vaginoplasty Techniques

PPV vs. Skin Grafts (Penile Inversion)

FeaturePPVPenile Inversion
Vaginal DepthTypically deeperMay be limited by available tissue
LubricationYes, self-lubricatingNone (requires lube)
RecoveryModerateShorter
Risk of Hair GrowthNoYes, unless hair removal is done

PPV vs. Colon Vaginoplasty

FeaturePPVColon Vaginoplasty
InvasivenessLess invasive (laparoscopic)More invasive (open abdominal)
Odor/MucusMinimalCan produce excess mucus
ScarringMinimalModerate
DepthComparableVery deep

Zero-Depth Vaginoplasty vs. PPV

  • Zero-Depth is ideal for those not seeking penetrative function
  • PPV provides both depth and aesthetic form, hence making it a full-function option

Recovery Experience: What to Expect After SRS PPV Surgery

  • Hospital Stay: 2–3 days under attentive care
  • Hotel Recovery: 7–14 days with an optional personal nurse
  • Dilation & Aftercare: Guided post-op schedule with follow-up support
  • Back to Normal: Most patients return to light activities in 3–4 weeks

APS provides a private recovery room and arranges hotel accommodations nearby.

Cost & Logistics: Planning Your Surgery in Thailand

APS offers customized quotes for PPV based on your case. While costs are typically higher than penile inversion, they remain significantly lower than Western clinics with equivalent or higher quality.

We support:

  • Online consultations with your surgeon
  • Airport pickups
  • Medical liaison and translators
  • Recovery planning

Our patients fly from Europe, the USA, Australia, and beyond, so we’re ready to assist with the full travel and care itinerary.

Some reasons international patients prefer Thailand include:

“Peritoneal vaginoplasty is the future of gender-affirming surgery. The ability to recreate a self-lubricating canal using laparoscopic tools is a game-changer.” — Dr. Loren Schechter, Plastic & Reconstructive Surgery Journal, 2022

Why Choose APS for Your SRS PPV Surgery?

  • 10+ years of focused gender care
  • Internationally trained surgeons
  • Only 5–10 cases/month for personalized care
  • Full-service recovery support
  • Recognized leader in laparoscopic PPV

APS is trusted by patients from around the world seeking both excellence and empathy.

SRS PPV isn’t just a surgical technique—it’s the next step in achieving natural, lasting, affirming results.

If you’re considering PPV, your next step is simple: Fill out the contact form to connect with our trained staff. We’ll guide you through a personalized consultation with our leading surgeon and help plan every aspect of your journey.

At APS Gender Care, we specialize in all three techniques—skin graft, PPV, and colon vaginoplasty—helping patients achieve results that align with their needs. Our expert team is ready to guide you through every step, ensuring a safe and fulfilling experience. Reach out to us today to see how we can support your transition journey.