Vaginoplasty without vaginal cavity

Vaginoplasty without vaginal cavity is the surgical procedure to create female genitalia that look as natural as possible, but without creating a vaginal cavity.

The decision to undergo a vaginoplasty with or without a vaginal cavity is a personal one, and must be made in accordance with your needs and expectations.

Our team of surgeons uses the same surgical technique as that used in a vaginoplasty, but without constructing a vaginal cavity. Vaginoplasty without vaginal cavity is done in one surgery including the autograft of a neurovascular flap of the glans that will serve to create a sensitive clitoris. By improving this technique, Dr. Brassard has redefined the standards of vaginoplasty, earning GrS Montréal consideration as one of the world’s best centres in the field of male-to-female gender affirming surgery.

Vaginoplasty without vaginal cavity surgery can be performed at the same time as other procedures.  

Expected results:

  • A clitoris made with the sensitive skin of the glans;
  • A clitoral hood;
  • A vulva equipped with labia majora and minora;
  • Clitoral erogenous zones with the possibility of sexual pleasure.

During the procedure, the surgeon will:

  • Remove the scrotal skin;
  • Remove the testicles;
  • Dissect the internal structures of the penis taking care to separate the urethra, the corpus cavernosum, and at the same time release a flap consisting of blood vessels and nerve endings:
    • The corpus cavernosa will be removed;
    • Some of the blood vessels and nerve endings will be released to create the clitoris. A cone-shaped piece of skin will be taken directly from the glans to form the clitoris. The clitoris will be positioned and fixed. The urethra will be dissected; the remaining tissue will be preserved to line the inside of the labia minora, providing a more natural result than if a skin graft was used;
  • Create the labia majora.

*A vaginoplasty without vaginal cavity is an option if you have had a prostatectomy following prostate cancer. 

Benefits of this surgical technique:

  • A surgical technique in one single surgery;
  • The use of existing tissue to construct the minutiae of the vulva (labia majora and minora,clitoris, clitoral hood) eliminates strain on the tissue forming the new genitals.

* The appearance of the genitals will be very different from person to person. Some people have a more rounded mons pubis, less protruding clitoris, fuller labia majora, or labia minora of varying sizes.

Postoperative care:

During your convalescence, you will be provided with the document Information and Postoperative Care – Vaginoplasty without vaginal cavity. This document contains your surgeon’s instructions and will serve as a guide.

Download the documentInformation and Postoperative Care – Vaginoplasty without vaginal cavityDownload the documentInformation and Postoperative Care – Vaginoplasty without vaginal cavity.


The surgical procedure, your stay and convalescence

Average length of the procedure

Admission to the CMC



Convalescence at Asclépiade

Convalescence at home

Return to physical activities and sports

1hr30 The day of the surgery Regional or General

2 nights postoperatively

4 nights postoperatively 4 weeks 6 to 8 weeks
Medical follow-ups and appointments: Asclépiade provides personalized postoperative follow-ups to all patients. You will be getting a follow-up appointment with your surgeon one month after your surgery. If you cannot come to your appointment, your attending physician can follow-up with our surgeons by contacting the Asclépiade.