The reason they have to use bowel tissue - which obviously leads to the smell of faeces and chance of a fistula - is often because puberty blockers result in small penis size and therefore not enough tissue to invert. As more young men come through the clinics who have been on puberty blockers, bowel vaginaplasty will be more common.
There is great harm in doing extreme cosmetic surgery, with the possibility of long term complications, for what is a mental health issue. It's akin to giving anorexic patients liposuction, except that anorexics can at least put weight back on.
Google phalloplasty, look at the results and the scars left when rolls of flesh are removed from women's arms and rolled up to make a 'penis', then get back to me on how this is anything other than Frankenstein level 'medicine'.
Several research studies show post surgery patients have a higher depression and suicide rate than those who don't have surgery, so these surgeries are hardly lifesaving.
2024:
https://pmc.ncbi.nlm.nih.gov/articles/PMC11063965/
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2025:
https://academic.oup.com/jsm/article-abstract/22/4/645/8042063
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