Planning for gender-affirming surgery is a big deal, and genital hair removal is a critical step we handle together. For procedures like vaginoplasty or phalloplasty, permanent clearance is non-negotiable to prevent internal hair growth and complications. We use electrolysis, the most reliable method, on the specific areas your surgeon maps out. It’s important to start this process early—at least 9 to 12 months before your date—to ensure all hair cycles are fully cleared. Let us manage this required preparation so you can focus on your transition journey.
We need to permanently clear the area because hair inside the vaginal canal or neourethra will compromise your final result. Incomplete pre-surgical hair removal can lead to internal hair growth, which causes discomfort and prevents a smooth, functional vaginoplasty or phalloplasty.
This varies by surgeon and procedure. For vaginoplasty, it often includes the scrotal skin and parts of the perineum. For phalloplasty, it’s usually the forearm or thigh skin being used as the donor area. Always get a map from your surgeon.
Electrolysis is generally preferred by surgeons because it is reliably permanent for all hair types. Laser hair removal is faster but only offers hair reduction, so it may lead to hair regrowth. For pre-surgical hair removal, electrolysis is the most reliable approach.
Plan for a significant commitment. Since hair grows in cycles, complete pre-surgical clearance usually takes at least 9 to 12 months of consistent sessions. We need a minimum of 2 to 3 months of no regrowth before your surgery date.
Genital hair removal through electrolysis can be very sensitive, but we have ways to help. You can use strong topical numbing cream, or you may be able to get injections from a local medical provider. We partner with Lavender Health for this. Your comfort is our priority during this gender-affirming treatment.
