Vaginoplasty Showdown: Peritoneal vs. Penile Inversion. Dr. Sidhbh Gallagher Answers MAJOR questions
Dr. Z interviews world-renowned gender-affirming surgeon Dr. Sidhbh Gallagher, based in Florida, who has performed approximately 5,000 gender-affirming surgeries over 10 years and authored the book "Affirmed." This comprehensive discussion focuses on vaginoplasty, comparing penile inversion and peritoneal pull-through techniques.
Topics covered include: whether vaginoplasty represents the most complicated gender-affirming surgery (it's complicated but manageable with proper preparation); the most serious complication—rectovaginal fistula occurring in approximately 1% of cases; how surgery duration typically ranges 4-5 hours with 2-3 days hospital stay; differences between penile inversion (using external tissue) and peritoneal pull-through (using peritoneal lining from abdominal cavity); sensation preservation and orgasm capability through both clitoral stimulation and internal penetration; vaginal depth averaging around 6 inches; hair removal requirements; dilation protocols and vaginal stenosis prevention; and the single most important factor for successful recovery—being in good emotional space with adequate support systems.
Dr. Gallagher emphasizes realistic expectations, proper education, psychological preparation, and understanding that both techniques offer acceptable outcomes with specific advantages and considerations based on individual circumstances and goals.
Watch this essential interview for comprehensive, expert-level information about vaginoplasty from one of the field's most experienced surgeons.
