Description:
This 37 year old patient underwent sexual reassignment surgery in 1980 in the Midwest and a revision by another physician in the U.S. in 1998. She underwent lowering of her clitoral hood with revision of her labia minora, fat injections into her labia majora to increase bulk, fat redistribution to eliminate a suprapubic concavity, movement of the urethra into the vagina to a more normal location, and revision of her pseudoclitoris.