KwikwittyDo a web search on “vaginoplasty”, “colovaginoplasty”, and “penile inversion”. Note that to many transsexuals, and the medical professionals working with them the title of this thread is offensive. He does not become she through surgery. She was born with various physical defects (lack of ovaries and uterus, a penis and testicles, etc). Sexual reassignment surgery (not sex change surgery, that would imply the patient is male until the surgery makes him female. The patient is already female.) simply corrects some of these defects. For information on sexual dimorphism in the human brain, and evidence supporting the view of transexuals as having a brain of one gender and the body of another, do a web search on ‘sexual dimorphism in the human brain’ or ‘termina strialis’.
Even in the earliest penile inversion techniques I know of, the skin was removed from the shaft of the penis, before the penis was amputated. This kept the nerves and blood vessels attached to the skin, and meant less stitching. Name a surgery which doesn’t have an eww factor involved.
These days, the most common technique leaves at least the glans, with blood supply and nerves intact, as a clitoris.
There are many penile inversion techniques, each with surgeons arguing over which is best.
Colovaginoplasty is a more complicated procedure in which a small segment of intestine is used to line the vagina. This provides a vagina which is self lubricating.