Feminizing genital reconstruction.
A thoughtful, aesthetic-focused approach to feminizing genital surgery — combining advanced surgical expertise with compassionate, patient-centered care across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
A defining step in feminizing transition
MTF bottom surgery reconstructs the genital anatomy to create feminine form and function aligned with your identity.
For many transfeminine and non-binary patients, bottom surgery is one of the most affirming steps in their transition. Procedures range from orchiectomy to full vaginoplasty, constructing natural feminine vulvar anatomy with attention to aesthetics, sensation, and function.
Every plan is built collaboratively, respecting your anatomy, goals, and comfort. Our surgeons follow internationally recognized, WPATH-aligned standards to ensure safe, ethical, and natural-looking outcomes.
What bottom surgery can mean for you
More than an aesthetic change — a meaningful step toward comfort, confidence, and self-recognition.
Affirming anatomy
Feminine genital anatomy that aligns your body with your identity and lasting sense of self.
Improved well-being
Patients consistently report meaningful improvements in confidence, comfort, and quality of life.
Refined aesthetics
Natural-looking vulvar anatomy with careful attention to symmetry, depth, and proportion.
Functional outcomes
Techniques designed to preserve sensation and support sexual function and comfort.
Reliable recovery
A predictable healing roadmap supported by our team at every stage of your journey.
Technique tailored to you
The surgical approach is matched to your anatomy and goals for the best possible outcome.
MTF bottom surgery techniques
Your surgeon will recommend the approach best suited to your anatomy, goals around depth and function, and aesthetic priorities.
Penile Inversion Vaginoplasty
- Indications
- Patients seeking full depth vaginal canal with feminine vulvar anatomy.
- Advantages
- Uses penile and scrotal tissue for natural sensation and well-balanced aesthetics.
- Ideal candidates
- The most common approach for patients desiring vaginal depth and sensation.
Orchiectomy
- Indications
- Patients seeking to remove the testes, sometimes as a first step.
- Advantages
- Lowers testosterone, reduces hormone therapy needs, shorter recovery.
- Ideal candidates
- Patients wanting a simpler procedure or staging their transition.
Labiaplasty & Clitoroplasty
- Indications
- Refining or constructing the labia and clitoris for natural appearance.
- Advantages
- Sculpts feminine, symmetric vulvar anatomy with preserved sensation.
- Ideal candidates
- Patients seeking refinement or a secondary aesthetic stage.
Zero-Depth (Vulvoplasty)
- Indications
- Patients who do not desire a vaginal canal.
- Advantages
- Feminine external anatomy with reduced recovery and no dilation required.
- Ideal candidates
- Patients prioritizing aesthetics and comfort over vaginal depth.
Comparing the techniques
A quick reference to help you understand the trade-offs between scarring, candidacy, and sensation.
| Technique | Scars | Best candidate | Sensation |
|---|---|---|---|
| Penile Inversion | Well-concealed | Full-depth goals | Often preserved |
| Orchiectomy | Minimal | Staging or simple step | Preserved |
| Labiaplasty / Clitoroplasty | Low | Aesthetic refinement | Often preserved |
| Zero-Depth Vulvoplasty | Low | No canal desired | Often preserved |
What to expect at a glance
Your healing roadmap
A clear, week-by-week picture of what recovery looks like — so you always know what comes next.
- 1Week 1
Hospital & initial healing
Bed rest with a catheter and packing in place. Pain is managed closely and early mobilization begins under supervision.
- 2Weeks 2–4
Begin dilation & light activity
Packing and catheter are removed, and a dilation routine begins (when applicable). You gradually resume light daily activity.
- 3Weeks 4–8
Steady recovery
Swelling subsides and you progressively return to most daily activities while maintaining your dilation schedule.
- 4Months 3–6
Tissue maturation
Tissues soften, sensation continues to develop, and the vulvar anatomy refines as healing matures.
- 5Month 12
Final result
Swelling fully resolves and the final aesthetic and functional outcome becomes apparent.
What your results will look like
Understanding scars, sensation, and long-term outcomes helps you set clear, realistic expectations.
Expected scars
Scars are carefully placed within natural folds and the labia, becoming discreet as they mature over time.
Scar evolution
Scars are pink and firm early on, then progressively flatten and fade over 12–18 months with proper care.
Sensation
Techniques aim to preserve erogenous sensation. Many patients regain meaningful sensation over the following months.
Aesthetic appearance
Vulvar anatomy is sculpted for a natural, feminine, and proportionate appearance tailored to you.
Function & comfort
Procedures support comfortable urination, sexual function, and overall daily comfort.
Long-term results
Once healed, results are permanent, delivering stable, affirming anatomy and lasting confidence.
Surgical Excellence, with Care That Listens.
Every patient deserves compassionate, individualized care throughout their gender-affirming journey. Our team combines advanced surgical expertise with a deeply patient-centered approach to deliver safe, natural, and affirming outcomes tailored to your goals.
“Trusted by patients across Canada seeking compassionate, expert gender-affirming care.”
Fellowship-Trained Surgeons
Our procedures are performed by highly specialized surgeons with advanced training in gender-affirming and reconstructive surgery.
Advanced Microsurgical Care
We utilize modern surgical techniques and precision-focused care to support optimal healing, functionality, and long-term results.
WPATH-Aligned Protocols
Our approach follows internationally recognized standards of care to ensure ethical, safe, and evidence-based treatment.
Patient-Led Decision Making
Every treatment plan is built collaboratively, respecting your identity, goals, comfort level, and personal transition journey.
Aesthetic-Focused Outcomes
We prioritize natural-looking, harmonious results designed to align with each patient's vision and anatomy.
Multidisciplinary Support
From consultation to recovery, our team provides coordinated medical, surgical, and emotional support at every stage.
Meet Dr. Alexis Laungani
A vision of self-affirmation for all
Dr. Alexis Laungani is a plastic surgeon who offers meticulously crafted reconstructive and aesthetic procedures, artfully blending medical practice with personal well-being. With over 20 years of training across Belgium, the United States, and Canada, he harnesses globally recognized techniques to minimize downtime and scarring while achieving naturally beautiful results.
- Over 20 years of training across three continents
- Transparency at the cornerstone of care
- Holistic pre- and post-operative care
- Naturally beautiful, patient-centered results
From First Conversation to Long-Term Follow-Up.
We guide every patient through a personalized and supportive experience designed to prioritize comfort, clarity, safety, and confidence at every stage of the surgical journey.
“Every transition journey deserves thoughtful guidance, clarity, and compassionate support.”
- 1Step 1
Initial Consultation
Meet with our surgical team to discuss your goals, medical history, expectations, and personalized treatment options in a safe and affirming environment.
- 2Step 2
Surgical Planning
Your procedure plan is carefully tailored to your anatomy, transition goals, recovery needs, and desired aesthetic outcomes.
- 3Step 3
Surgery & Inpatient Care
Our team provides expert surgical care with attentive postoperative monitoring, ensuring comfort, safety, and individualized support during recovery.
- 4Step 4
Recovery & Follow-Up
We remain closely involved throughout healing with follow-up appointments, recovery guidance, and long-term support focused on optimal results and well-being.
Patients travel from across Canada
We welcome patients nationwide for gender-affirming bottom surgery, with coordinated travel and follow-up support.
Trusted by patients across every province and territory in Canada.
Frequently asked questions
More MTF surgical options
Vaginoplasty
Comprehensive gender-affirming surgery designed to create feminine anatomy with a focus on aesthetics, function, and long-term comfort.
Orchiectomy
A gender-affirming procedure involving the removal of the testes to support hormonal transition and reduce testosterone production.
Labiaplasty
Refinement procedures designed to enhance comfort, symmetry, and the aesthetic outcome of feminine anatomy.
Plan your MTF bottom surgery.
Begin with a private, confidential consultation. Our team will guide you through every step with clarity and care.
Confidential consultations available across Canada.
Dedicated patient coordinators available for Canadian and international patients.
Serving patients across Canada
- WPATH-aligned care
- Fellowship-trained surgeons
- Patients across Canada
