SRS MtF Surgery Referral Letters

SRS MtF surgeries:

    The main aspects we need to consider to prepare and decide for a SRS MtF surgery are:

  • The amount of penile skin;
  • Untouched testicle purse skin;
  • Integral nerves and vessels to preserve sensitivity and orgasmic capacity;
  • The SRS technique;
  • Depth and width possible for the neovagina;
  • No kidney stones to close the future new urethra;
  • The dilation needs after surgery;
We discuss with the patient all the details of each of these aspects BEFORE we are able to write any letter:

  • There is enough penile skin? Which is the size of the erected penis? The lenght and circunference of the original penis?
  • The size of the testicle purse? Untouched skin?
  • Did the patient had circuncision with loose of precious skin?
  • Any attempt of penis elimination in childhood or youth? Any manipulation to try to erase or to hide the penis in a way that the vessels and nerves were put in danger? Or are they untouched?
  • The patient's age?
  • Is she married or has a boyfriend? Sex will be something frequent with a partner, or rare or eventual?
  • Masturbation will be important? With a dildo and without it?
  • How important will be the cunnilingus performed by a partner?
  • To stay with no sex - no masturbation or intercourse for months - could happen as a normal reality?
  • How the patient feels about being necessary forever a dilation every week, even with a mature age and alone?
  • One day a MANDATORY dilation could be a problem?
All these aspects are important and need to be considered BEFORE we decide about the technique and the surgeon.

  • Dilation is more important - absolutely important for some surgeries and not so important for others!
  • So some not so dilation demanding techniques may be better for more mature women!
  • The possibility of a neovagina collapse (stenosis) recovery is more real for some surgeries than for others!
  • The possibility of orgasm with easy masturbation without a dildo is different for each technique!
  • The perfection of the esthetics may be important for the patient considering the partner. For example, cunnilingus shows for the partner the sensitivity and vulva anatomy. Some surgeries are perfect for cunnilingus (oral sex), but others are absolutely catastrophic considering that aspect, that may be an important aspect for everyday life.
  • More vaginal depth is important for most women - to have a normal life with the sexual partner!
Before we prepare the SRS referral letter, we consider all details with the patient - and we suggest always only renewed surgeons, as Dr.Suporn, Dr.Preecha, Dr.Kamol, Dr.Kunaporn in Thailand; Dr.Jurado in Brazil; among others.

The surgeon, the patient defines and the choice is the patient's. We suggest which we believe may be the better, for eah situation.

With our SRS referral letter the patient gains also our follow up, through emails, during the stay at the hospital, before and after the surgery. We talk to the clinic, we discuss specificialities of the subject, and later we follow up the post op at the hospital, at a hotel near the hospital, to see if the urethra is fine, if the dilation is going well, checking sensitivity and so on, until the patient leaves the hospital/hotel to come back home.

All financial contact and arrengements about surgeries and hospital are directly defined between the patient and the surgeon. We know both, so we make suggestions and we facilitate the knowledge between them. We have no financial relation with no surgeon.

Services fast access

We may help CD's

You may have a fast 2 step evaluation, and orientation through the CD-pack, to develop controlled and small body changes

TGs non TSs

You need also the complete 4 step diagnosis, and we may help you on partial transitions with wise, sure and safe orientation.


You may follow our full program, to develop a new body, with the most perfect possible SRS.
IF YOU ARE ALREADY READY FOR SRS, we have a smart SrsPack plan to you, to help your fast SRS all around the world.
If you are ready for SRS try our SRSPack Here!

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We did develop scientific knowledge as the background to develop a method to diagnose people with gender issues at a distance, through the web. See the links for details:

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