Vaginoplasty Techniques: Which One to Choose? IM GENDER Colovaginoplasty as gender affirming surgery with sufficient vaginal depth and natural self lubrication . A 43 year old transgender woman from the United States of America, assigned male at birth, has transitioned to female. Colovaginoplasty was Dr. Ley provides vaginoplasty for trans women and non binary patients. She performs a two stage penile inversion technique. The first stage of surgery creates the vaginal canal, clitoris and labia majora. About 5 Updates on feminizing genital affirmation surgery (vaginoplasty) techniques Ferrando 2023 Neurourology and Urodynamics Wiley Online Library