The animated video shows how the penis and testicles are used to create a vagina, complete with the entire clitoris, which enables orgasms.
Because this is a non-reversible procedure, the patient must be completely confident about undergoing it.
Patients undergo two psychological assessments before surgery.
They must have lived as a female for at least 18 months, been on hormone therapy for 12 months and changed their name.
The video begins by showing how a catheter dries urine and collects fluid.
Doctors then make an incision and remove the testicles.
The penis is then used to create the vaginal canal.
And the clitoris is formed by making a cut in the head of the penis, where the most sensitive tissues are.
The clitoris then attaches to the vagina.
