Transitioning from male to female involves several surgeries. Possessing a full female anatomy, including the genital area, is part of the final transition and a future living life with your body matching your inner self. One surgical procedure that may be performed is a “colon graft.” This groundbreaking procedure is a non-penile inversion technique. The surgery may also be appropriate for SRS patients who are living with a surgically-created vagina that was too shallow in depth and needs to be altered.

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Primary Colon Graft

When one of our brave patients is moving through transition from male to female, creating natural-looking genitalia is a critical point. The surgical procedure employed can vary, patient to patient. Some patients may be candidates for this procedure when they meet the following criteria:

  • 45 years old or younger
  • At a healthy weight
  • A BMI at 28 or lower

The decision about which surgery to employ in your case will be based upon several factors, including the final appearance and functionality you want to achieve. Colon graft surgery has the advantage of creating a deeper vaginal canal, which can be an important issue for the individual patient. At Beverly Hills Transgender Surgery, Dr. Sinclair works closely with each patient to determine the most effective procedure to suit the individual patient.

How Colon Graft Surgery Works

The most common SRS technique is penile inversion vaginoplasty. This procedure is less invasive and known to produce excellent results for most transitioning patients. In colon graft surgery, a section of the colon is used to create the vaginal lining for a nicely-proportioned, self-lubricating vagina of greater depth than can be achieved with penile inversion vaginoplasty. This is a complex surgery, requiring about seven hours to complete. The procedure involves sectioning part of the colon through an incision placed on the lower abdomen.

The section of the colon is connected to the perineum with genital skin flaps, with the entire female genital area structured during surgery for a natural look and function. While this surgical technique has the drawback of leaving an abdominal scar and is more complex, requiring a longer surgery, it may be a more appropriate surgery for some patients who are in good health. Dr. Sinclair performs both types of surgeries and can discuss the pros and cons of each technique with you in a private consultation, so you can make an informed decision.

Choices Matter in Transgender Surgery

Many SRS surgeons rely on only one surgical technique for transitioning patients, typically offering only the classic technique, the skin graft procedure. Dr. Sinclair is dedicated to serving the transgender community and offers more options for this critical aspect of full transition from male to female.

As one of the premier plastic surgeons practicing transgender surgery in the Los Angeles area, Dr. Sinclair’s experience, scope of knowledge, and decades serving the community has led to his reputation for surgical excellence. Have questions or concerns? We invite you to connect with us today.

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We invite you to schedule a consultation with Dr. Sinclair to discuss how he can assist you with your transition. Consultations for elective cosmetic procedures are complimentary.

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Sinclair Plastic Surgery

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Practice Policy Update Regarding COVID-19 View Update Virtual Consultation


Coronavirus (Covid-19) Update

Updated - June 26th 2020

The COVID-19 epidemic has created unprecedented circumstances for our community. Our practice has been paying close attention to the guidelines put in place by the government and

With this in mind, we are offering virtual consultations to patients via face time, however, face-to-face in-office consultation are still available. We are still seeing post-operative patients and patients requiring ongoing treatments. To schedule, a virtual consultation or in-office consultation call our office.

Please know that we are constantly updating our services and staffing according to the local and national recommendations and doing our part to make sure that you are protected

  • We continue to exercise all the latest recommendations that are handed down by the CDC. Our preventative measures include:
  • Fully training all staff members to understand the disease process and its modes of transmission.
  • Appointments will be staggered to avoid congestion in the waiting room.
  • Checking temperatures of every patient that comes into the office.
  • Asking all staff, vendors and ancillary personnel to refrain from coming to the office if they have any signs or symptoms of a cold or an upper respiratory tract infection.
  • Asking every patient to refrain from coming to the office if they have any symptoms and inquiring about any pertinent travel history.
  • Hand-washing, as this continues to be the most important mode of prevention.
  • Although it is something that we have always constantly done, we are now doing so with heightened vigilance and attention.
  • Constantly sanitizing all surfaces (which we have always done as an accredited facility).

However, we have now increased this routine and are wiping down all surfaces, desks, door handles, keyboards and restroom facilities multiple times each day.

Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this country even better than it currently is. We are closely monitoring this situation on a real-time basis and will update our practice’s guidelines as needed to protect our patients.

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