Inorgasmic: You may never have an orgasm again. Ever.

 

Depth problems: You may end up with a vagina too shallow for standard sexual function.

 

Stenosis (width problems): You may have a vagina too narrow or standard sexual function

 

Lubrication: You will probably need some sort of lubrication for any penetrative sexual activity. Some people achieve moderate amounts of prostatic lubrication, but usually must supplement it. Conversely, those who have sigmoid vaginoplasty sometimes secrete so much mucus from the bowel segment in their vagina that they must wear maxi pads at all times.

 

Numbness: You may have numbness in some or all parts of your genitals, which limits your pleasure and increases the chance of injury from your lack of sensation during vigorous activity.

 

Pain: You may have permanent pain in some areas from a severed nerve, etc.

 

Hypersensitivity: You may find some areas too sensitive to be touched. Hypersensitive areas can also cause discomfort from just walking or sitting.

Scarring: some people have noticeable scarring that is discolored or raised.

Graft: some patients require a skin graft, which can mean additional scars.

Keloids: some (notably African-American patients) get this unusual type of raised red scars

Hair: some patients have reported hair growth inside the vagina and around the opening. This is difficult to remove after vaginoplasty, and is the reason many advise getting electrolysis prior to vaginoplasty.

Clitoris size: some women have had clitoris that is much larger than a typical female's. Others have had one that is too small.

Shape: asymmetrical outcomes are not uncommon, especially in one-stage procedures.

Labia: sometimes labia are different shapes or positioned differently.

Urethra: some have a urine stream that points in an unusual direction. Others have had a urethra opening that was big enough that partner mistook it for her vaginal opening.

Positioning: some have reported the entire vulva is too thigh or too low, or that there is too much or too little space between the clitoris and the vaginal opening.

Yeast infection/douching: some have temporary, and in some cases, chronic problems with yeast infections or unpleasant smell following surgery.

Psychological

Fatigue: Vaginoplasty takes a lot out of you, and many find that they tire easily in the months following surgery.

Depression: many find that completion of vaginoplasty leaves them feeling a bit lost, especially if they had expectations that vaginoplasty would make a major difference in their day-to-day existence. It won't.

Regret (didn't put in proper thought): In rare cases, patients have decided that vaginoplasty wasn't the solution to their unhappiness. Others detransition after vaginoplasty, because all they wanted was the surgery and had no success in living as females.

Temporary

Evacuation: many have problems going to the bathroom for a while after surgery, from constipation and hemorrhoids, to inability to control their bladder, sometimes requiring incontinence pads. This usually resolves itself in a few months.

Mild bleeding: Many have mild bleeding, especially around sutures or after dilation, which requires the use of a sanitary pad for a few months.

Bed sores: those who do not move around enough sometimes get bed sores, which can take a while to heal.

Ripped suture: occasionally someone might tear a suture from certain types of movement. While usually not a serious problem, it can cause a small scar.

Clitoral scab: many report they have a scab over their clitoris following surgery. In some cases, when this falls off,m there is very little protruding clitoral tissue remaining. This can be corrected during labiaplasty if desired.

Shocks: many report a sensation of electrical "shocks" as nerves in the surgical site regenerate. This is especially common in the legs near the pelvis.

Bruising: You can expect bruising ranging from mild to significant, which can take many weeks to resolve.

Nausea: following anesthesia, many get nauseated. This can also be caused by the antibiotics, or the hospital food! ;

Allergic reaction (drugs, leg things, etc): some patients get contact dermatitis from the leg compression stockings, the catheter, or from other vaginoplasty related items.