The standard procedure for Feminising Genitoplasty or vaginoplasty is penile inversion. This type of gender affirmation surgery consists of creating a neovagina that will be covered using the inverted skin of the penis and scrotum. The goal of vaginoplasty is to create a genital complex that is as feminine as possible, both from an anatomical, aesthetic and functional point of view.

Feminising Genitoplasty or vaginoplasty with pedicled rectosigmoid flap or colon-vaginoplasty is a surgical procedure that consists of using a section of the terminal large intestine (sigmoid colon) to provide a neovagina. This technique is only carried out in cases where penile inversion vaginoplasty is not possible. This may be either because the penis does not have enough skin, or because it is circumcised or for other reasons. In these cases, penile inversion vaginoplasty would not allow sufficient vaginal depth and therefore the pedicled rectosigmoid flap technique is used.

Feminising Genitoplasty aims to achieve female genitalia, not only from a functional and anatomical point of view but also from an aesthetic point of view.

During the intervention in which the Feminising Genitoplasty is performed (either by penile inversion or with a pedicled rectosigmoid flap), the surgeon will perform the so-called vaginal cosmetic surgery. This type of intervention consists of the design and construction of the labia minora, the clitoris and the clitoral hood that covers the latter.

Rhinoplasty or nose reconstruction surgery is an intervention that allows you to increase or reduce the size of your nose, changing the configuration: the shape of the bridge or tip; the size of the nostrils or the angle between the nose and the upper lip. It is also used to correct birth defects or accidents as well as nasal breathing problems. Rhinoplasty is one of the most common interventions to feminise the face and currently allows us to create completely natural noses in line with the new harmony of the face. Thanks to this intervention, the features are softened, giving a more youthful image, with finer and more feminine features. This intervention can be performed both before and after vaginoplasty.

One of the most requested interventions by transsexual women, after vaginoplasty and breast augmentation, is the reduction of the Adam's apple or laryngeal prominence. The prominence of this cartilage is characteristic of biological men, so, in cases of exceptional prominence, it is advisable to perform this intervention before the life experience to adapt better. Although the choice of the type of anaesthesia will depend on the assessment of the surgeon and his medical team, the reduction of the Adam's apple or thyroplasty is performed, in most cases, with local anaesthesia plus sedation; and usually lasts about an hour.

Cheek augmentation is an intervention designed to increase, using a prosthesis, the size of the cheekbones to create greater harmony in both the face and the patient's profile. This operation is usually associated with rhinoplasty, mentoplasty, facelift or blepharoplasty. Cheek augmentation helps to soften the features while giving the patient's face a more sensual and feminine appearance. In addition, it helps highlight the patient's eyes and gaze. Cheek augmentation or malar implants is an intervention that may generally require local or local anaesthesia with sedation and the duration of the operation ranges between 30 and 45 minutes if it is not combined with other operations.

Mentoplasty is an intervention designed to increase or decrease the size of the chin to create greater harmony in both the face and the patient's profile. This operation is usually associated with rhinoplasty. Mentoplasty consists of implanting a prosthesis or sliding a fragment of bone forward to project the chin or reduce the jaw bone, depending on the results you wish to achieve. This intervention helps to soften the profile and highlight the mouth and lips. In addition, it helps give more feminine and balanced features to those patients who have a slightly prominent chin in relation to their nose and the rest of their face or reduce the chin to patients with a very prominent bone.

One of the interventions that allow the face to be modelled, and therefore give it more feminine features, is undoubtedly the facelift or rhytidectomy. In addition, it also allows you to eliminate facial wrinkles, giving the face a young and clear appearance. Lifting or rhytidectomy is a procedure designed to lift and tighten the facial and cervical skin with the aim of reducing folds and wrinkles. In transsexual patients, this technique can also be used to reshape the face, giving it more feminine features.

Masculinising chest surgery is the surgical technique through which the glandular breast tissue is removed. This intervention aims to achieve a smooth and symmetrical chest that is anatomically and aesthetically masculine.

Hysterectomy and adnexectomy is the surgical technique through which the womb and ovaries are removed. This intervention aims to avoid the effect of female hormones produced by the ovaries, as well as possible diseases that may settle in the internal female genitalia, which seem to be enhanced by the consumption of male hormones. In addition, it is the basis for subsequent gender confirmation surgery.