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There are multiple forms of gender affirming surgery, including procedures that alter the genital area, which are known as “bottom. During a vaginoplasty procedure, tissue in the genital area is rearranged to create a vaginal canal (or opening) and vulva (external genitalia), including the labia. Breasts need to be surgically altered if they are to look less feminine

Sex Change — The Portfolio of Matthew G. Olin

This process involves removing breast tissue and excess skin, and reducing and properly positioning the nipples and areolae. It involves removing the penis, testicles and scrotum Gender affirming surgery can be used to create a vulva and vagina