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Results

4 Weeks Post-Op
16.5 cm of depth
Note labial definition, perfect symmetry, unified appearance of all vulvar structures, framing of the vagina, clitoral hood, and minimal scarring.
1 Year Post-Op
16.5 cm of depth
Immediate Post-Op
6 Months Post-Op
2 Months Post-Op
17 cm of depth
3 Months Post-Op
4 Weeks Post-Op
Note framing of entire vulva. Well formed labia minora. Amazing while standing. Groin incisions so no visible external scars.
5 Weeks Post-Op
Slight area of superficial skin separation lower left treated with silver nitrate.
4 months Post-Op
Patient has depth, is able to orgasm, no complications
1 Year Post-Op
15 cm of depth. No visible incisions. Vagina well-framed with labia minora.
Surgery: August 2020, 3 months post op
3 Months Post-Op
8 Months Post-Op
6 Months Post-Op
1.5 years Post-Op
Almost non-existent scars, excellent depth and sensation.
3 Months Post-Op
15 cm of depth
Early puberty blockade meaning limited skin. Surgery utilized extended groin incisions and abdominal pull down, bilateral tunica vaginalis (peritoneum) and artistry.
2 Days Post-Op
Surgery: 2019. 3 weeks post op
3 Weeks Post-Op
Surgery: 2019. Left: 3 days post op. Right: 4.5 months post op
Left Photo: 3 Days Post-Op Right Photo: 4.5 Months Post-Op
2 Months Post-Op
September 2018. 7 Weeks Post Op. Notice that the labia FRAME the vulva with labia minora
7 Weeks Post-Op
Surgery 2018. Less than 8 weeks postop. Barely visible scars, beautiful labia minora, fat mobilization to both labia majora. Overall, almost flawless. Patient is orgasmic.
8 Weeks Post-Op.
Barely visible scars, beautiful labia minora, fat mobilization to both labia majora.
2017. 6 months post op
6 Months Post-Op
These show the groin incisions, making scars non-visible while standing and full framing of the vulva, as in cis-women. There are coloration differences though these photos are less than six months post-op
6 Months Post-Op
These show the groin incisions, making scars non-visible while standing and full framing of the vulva.
These show the groin incisions, making scars non-visible while standing and full framing of the vulva, as in cis-women. There are coloration differences though these photos are less than six months postop
6 Months Post-Op
2016 results 8 months out reflecting technical improvements: clitoral hooding perfect, labia minors framing entire vulva, not just urethra and lateral groin scars not even visible. All completed in a single unaltered surgery
8 Months Post-Op
July 2015. Immediate post op- Notice the true groin incisions, creating scar-free labia
Immediate Post-Op
June 2015. Immediate Post -op. Note the improvements for 2015, Note the 2015 improvements as the incisions are closer to the groin crease. True groin incisions are increasingly available. Labia minor definition is more pronounced and surrounds the vagina rather than terminating at the urethra.
Immediate Post-Op.
Note the incisions are closer to the groin crease. Labia minora definition is more pronounced and surrounds the vagina
April 2015. Patient is orgasmic, largest dilator to 6 inches depth, very happy with results
1 Year Post-Op
15 cm of depth
April 2015. Pt is orgasmic, 6 inches of depth
1 Year Post-Op
15.5 cm of depth
December 2014. 6 months post op
6 Months Post-Op
December 2014. 6 months post op
6 Months Post-Op
October 2014. Picture taken just shy of 3 months post op
3 Months Post-Op.
August 2014. This photo was taken 4 months post op
4 Months Post-Op
2014, Picture taken 10 weeks postop. Her scars are minimal and well hidden by the pubic hair. They will continue to fade over the course of the year. Clitoris is prominent but acceptably hooded.
10 Weeks Post-Op.
Her scars are minimal and well hidden by the pubic hair. They will continue to fade over the course of the year.
November 2013. 3 months after GRS. Scars will continue to fade over the course of the year. Patient has good definition of her labia minora. The clitoris is well hooded.
3 Months Post-Op. Scars will continue to fade over the course of the year. Patient has good definition of her labia minora. The clitoris is well hooded.
August 2013 Post GRS. Scars barely visible, thin and reasonably symmetric. Labia minora present. Clitoris not visible without spreading labia but reportedly sensitive.
August 2013 Post GRS. Scars barely visible, thin and reasonably symmetric. Labia minora present. Clitoris not visible without spreading labia but reportedly sensitive.
December 2013, Scars are barely visible and hidden in pubic hair. Excellent hooding and definition of the labia minora.
Scars are barely visible and hidden in pubic hair. Excellent hooding and definition of the labia minora.
Depth shown here is 6.5". The clitoris is perfectly hooded with definition of the labia minora.
Depth shown here is 6.5″. The clitoris is perfectly hooded with definition of the labia minora.
March 2014. One month postop. Some sloughing of tissue is noted around the clitoris, which is normal at this stage of healing.
March 2014. One month postop. Some sloughing of tissue is noted around the clitoris, which is normal at this stage of healing.
December 2013 Close-up 6 week post op. The incisions are barely visible. The clitoris is well hidden under the hood, but still visible.
December 2013. Close-up 6 week post op. The incisions are barely visible. The clitoris is well hidden under the hood, but still visible.
October 2013. Immediate post-op patient. The catheter (yellow) is in the urethra and draining the bladder. The vaginal packing is in place. The drain is visible in the lower right corner of the picture.
October 2013. Immediate post-op patient. The catheter (yellow) is in the urethra and draining the bladder. The vaginal packing is in place. The drain is visible in the lower right corner of the picture.
September 2011. Patient is one month post-op. This shows a mild suture separation at the base of the vagina. This occurs as stitches dissolve and weaken, usually 3-4 weeks after surgery. The complication occurs less than one in fifteen patients. No additional therapy is necessary and the area heals rapidly with minimal impact on a final cosmetic appearance.
Surgery: Sept 2011. 1 month post-op. This shows a mild suture separation at the base of the vagina. This occurs as stitches dissolve and weaken. No additional therapy is necessary and the area heals rapidly with minimal impact on a final cosmetic appearance.
September 2011. Patient is three months post-op. The photo shows how nicely the separated area has healed, and the patient's excellent cosmetic result overall.
Surgery: September 2011. Patient is three months post-op. The photo shows how nicely the separated area has healed, and the patient’s excellent cosmetic result overall.
One year post-op. Typical minimal scarring and pinkish mucosa lining labia minora. This is an excellent example of our surgical technique on an African American woman. The pink urethral mucosa lines the labia minor, creating a very natural appearance.
One year post-op. Typical minimal scarring and pinkish mucosa lining labia minora. This is an excellent example of our surgical technique on an African American woman. The pink urethral mucosa lines the labia minor, creating a very natural appearance.
March 2011, Photo Taken 6 months post-op
Surgery: March 2011. Photo Taken 6 months post-op.
February 2011. Photo Taken 4 months post-op. There is slight labial asymmetry here but the hood and labia minora are gorgeous. Newer updates to Dr. Bowers' technique extend the labia minora to fully frame the vagina as in natal borne women. At 4 months of healing, scars are barely visible. Full healing occurs at 6-9 months as the colors mellow and swelling of tissues gradually lessen.
Surgery: February 2011. Photo Taken 4 months post-op. There is slight labial asymmetry here but the hood and labia minora are gorgeous. Newer updates to Dr. Bowers’ technique extend the labia minora to fully frame the vagina as in natal borne women. At 4 months of healing, scars are barely visible. Full healing occurs at 6-9 months as the colors mellow and swelling of tissues gradually lessen.
January 2011. Photo Taken 6 months post-op
Surgery: January 2011. Photo Taken 6 months post-op
July 2010. Photo Taken 12 months post-op.
Surgery: July 2010. Photo Taken 12 months post-op.
July 2009. Photo Taken 4 months post-op
Surgery: July 2009. Photo Taken 4 months post-op
May 2009. Photo Taken 6 months post-op. Well defined labia minora.
Surgery: May 2009. Photo Taken 6 months post-op. Well defined labia minora.
May 2009. Photo Taken 6 months post-op. Patient reports 7.5 – 8 in. depth with largest dilation stent
Surgery: May 2009. Photo Taken 6 months post-op. Patient reports 7.5 – 8 in. depth with largest dilation stent
June 2008. Photo taken 6 months post-op
Surgery: June 2008. Photo taken 6 months post-op
March 2008. Photo Taken 18 months post-op
Surgery: March 2008. Photo Taken 18 months post-op
October 2007. Photo Taken 7 months post-op
Surgery: October 2007. Photo Taken 7 months post-op
September 2007. Photo Taken 12 months post-op.
Surgery: September 2007. Photo Taken 12 months post-op.
August 2007. Photo Taken 9 months post-op.
Surgery: August 2007. Photo Taken 9 months post-op.
August 2006
Surgery: August 2006. Photo Taken 12 months post-op, patient reports “… how happy I am with what you did for me … everything works great!”
May 2006. Photo Taken 12 months post-op.
Surgery: May 2006. Photo Taken 12 months post-op.
May 2006. Photo Taken 12 months post-op.
Surgery: May 2006. Photo Taken 12 months post-op.
May 2006. Photo Taken 6 months post-op.
Surgery: May 2006. Photo Taken 6 months post-op.
May 2006. Photo Taken 6 months post-op.
Surgery: May 2006. Photo Taken 6 months post-op.
September 2005. Here 3 months post-op — a good one-stage result. Excellent clitoral definition and hooding, full labia majora, well-defined labia minora, excellent sensation. Patient reports orgasmic ability, good urination and is very pleased.
Surgery: September 2005. Here 3 months post-op — a good one-stage result. Excellent clitoral definition and hooding, full labia majora, well-defined labia minora, excellent sensation. Patient reports orgasmic ability, good urination and is very pleased.
July 2005. A more recent example of Dr. Bowers one-stage work. Photo taken approximately one-month post-op.
Surgery: July 2005. A more recent example of Dr. Bowers one-stage work. Photo taken approximately one-month post-op.
Surgery: July 2023. A recent example of Dr. Gunthers work. Photo taken 11 weeks post-op