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Some surgeons prefer to do most of the crafting of the outer vulva as a second surgery, when other tissues, blood and nerve supplies have recovered from the first surgery. Gender affirmation surgery is not a new phenomenon and has been undertaken by numerous people around the world. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required.
Surgeon's requirements, procedures, and recommendations vary enormously in the days before and after, and the months following, these procedures. Now, at least one surgeon is reporting a trend of regret.
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