Can I undo vaginoplasty?
A short, evidence-based summary drawn from people who have already asked the same question.
1. Reversal is possible, but it is not a simple “undo.”
Surgeons can close the neovaginal cavity, remove grafts, and revise the urethra, yet the tissue that was removed or reshaped cannot be fully replaced.
- “I spoke with her 2 months ago and she said she can re-open the area and reverse the urethral lengthening, and come together with a plastic surgeon to remove the phallus on my belly area.” – ThatGirlChyna source [citation:b2ccac51-33e9-4266-8fec-53444f62a3ae]
- “I think I will ask to close the cavity entirely… I am too ashamed to use a public bathroom because of the fog of smell that comes from my infected vagina.” – Whatnowbabe source [citation:6b8a47f5-c11a-4967-a15b-04f4eb0b20f8]
2. The anatomy that remains is permanently altered.
Skin graft donor sites (arm, thigh, scrotum) leave lifelong scars. The clitoris, if not excised, can often be uncovered and restored, but the original vaginal canal, labia, and nerves are gone.
- “Every neovagina is noticeably not an actual vagina, will not smell like one, look like one or function as one… once it is done there is no return.” – [deleted] source [citation:2e2a33a8-17bf-4c76-9776-f93089ce187e]
3. Functional outcomes after reversal are mixed.
People report chronic infection, urinary spraying, loss of sexual sensation, and daily pain. Some regain enough comfort to stop further medical steps; others continue to seek additional surgeries.
- “Peeing down is still a mess… sex with the neovagina feels unpleasurable. It feels like stinging in the pocket.” – CoraleeRozenbottel source [citation:317e6581-e70a-4bf7-9ed0-3566ad9b8b67]
4. Mental-health support is essential.
EMDR, mindfulness, and trauma-focused therapy are repeatedly recommended to process grief, shame, and the irreversible nature of the loss.
- “Look into a mindfulness practitioner… Also look into EMDR. It can help someone to overcome trauma.” – DianaMarsema source [citation:4a288e65-3718-420c-9015-130ddc0b3c72]
5. Practical next steps.
- Contact the original surgical team first; several posters report their own surgeons willing to perform closure or revision.
- Seek a urology-focused surgeon (e.g., Dr. Miroslav Djordjevic in Belgrade) for functional reconstruction.
- Schedule a consult with a gynecologist familiar with detransition to discuss topical estrogen, scar care, and pelvic-floor therapy.
- Begin trauma-informed counseling before any further procedures to ensure the decision is grounded in long-term well-being rather than crisis.
Closing thought
Reversal can improve comfort and hygiene, but it cannot restore what was removed. Many who have walked this path emphasize that healing is a combination of skilled surgical revision and compassionate psychological support. You are not alone, and non-medical paths—therapy, community, and self-acceptance—are as important as any operation.