Male to Female Vaginoplasty

Penile Inversion Surgery

How is Penile Inversion Performed?

Dr. Schechter’s single-stage method of vaginoplasty utilizes the penile inversion and disassembly technique combined with a scrotal-perineal flap to create the vagina. This technique uses the penile skin and a portion of the scrotum to line the new vagina. The clitoris is created from both a portion of the glans penis, as well as small amount of retained erectile tissue. This technique preserves important sensory nerves and erectile tissue in order to achieve a natural appearing, sensate vagina with adequate depth for intercourse. The procedure is performed under general anesthesia, and depending upon the extent of surgery, can last anywhere from 5 to 8 hours. Occasionally, skin grafts are required in order to achieve adequate vaginal depth. Your pre-operative physical examination will determine whether or not a skin graft is necessary.

How Long is Vaginoplasty Recovery?

The typical hospital stay for gender confirmation surgery is five to seven days, including the day of surgery. You will need to arrive in town one day prior to surgery, and are encouraged to spend two days after discharge from the hospital in local housing (hotel information provided below). In other words, if your surgery is scheduled for Monday, you will be required to arrive in town on Sunday. You will be discharged from the hospital the following Saturday, Sunday, or Monday, and it is recommended that you spend the following Tuesday and Wednesday in our local housing. Not counting the day of surgery, you will be confined to bed for four to five days. If your surgery is done on Monday, you will be able to get out of bed the following Friday, Saturday, or Sunday. We recommend reading material or other personal items to help occupy your time.

Where is the Gender Surgery Performed?

Gender confirmation surgery is performed at Louis A. Weiss Memorial Hospital (, located at 4646 North Marine Dr., Chicago, Illinois, Advocate Lutheran General Hospital, located at 1775 Dempster Street, Park Ridge, Illinois, and Thorek Memorial Hospital , located at 850 W. Irving Park Rd, Chicago, Illinois. The hospital staffs are courteous, friendly, competent, and uniquely suited to the needs of transgendered individuals. Local housing for short stays both before and after surgery is available at The Hotel Orrington,located at 1710 Orrington Ave, Evanston, Illinois. Preferred rates have been arranged and will be coordinated by Dr. Schechter’s office.

Visiting Chicago

The city is served by both O’Hare and Midway airports, and transportation by taxi can be coordinated through Dr. Schechter’s office. The flat rate for taxi service from O’Hare International Airport to the Orrington Hotel in Evanston is $66.00 round trip, $58.00 round trip from the Orrington Hotel to the hospital, and $20.00 round trip from the Orrington Hotel to our office in Morton grove (total: $144.00 plus tip). We recommend that you bring only necessities such as personal toiletries and sanitary napkins in a light carrying case. You will spend most of your time in bed, and hospital gowns will be provided. We also suggest that you bring dark, loose fitting clothing as there will be some tenderness, swelling, and discharge following surgery.

Are there any Prerequisites for Penile Inversion Vaginoplasty Surgery?

Requirements for surgery include two (2) psychiatric evaluations which specifically recommend gender confirmation surgery or specifically state that you are a good candidate for gender confirmation surgery. These evaluations must be performed by psychiatrists, psychologists, or therapists who are recognized, licensed workers in the gender or sex-oriented field. One of the evaluations must be performed by a professional who possesses either an M.D. or Ph.D. degree. The second letter may be from a licensed clinical social worker or a masters’ level therapist. All letters will be confirmed, and we recommend that you do not call to schedule surgery until you have completed at least nine months of psychiatric evaluation. In addition, a letter is required from your primary physician outlining the history and duration of your hormone therapy. Prior to surgery, we require hormonal therapy for at least one year.

Prior to surgery, Dr. Schechter will review your medical history and coordinate clinically indicated lab work. At the time of your evaluation, you will be interviewed, undergo a history and physical examination, sign consent forms, have your photographs taken, and receive instructions. Male to female gender confirmation surgery will not be performed for anyone who has herpes or any other active venereal disease.