For many trans people, genital surgery represents an essential step in their gender affirmation process. Beyond being a medical or surgical procedure, these interventions are experienced as deeply connected to their identity, emotional well-being, and quality of life. However, undergoing surgery in certain countries can be very complicated—whether due to the lack of specialized teams, policies and laws, or the social environment.

Vaginoplasty in Spain is completely safe, and furthermore, the country is one of the most advanced thanks to the Trans Law. Spain has established itself as one of the safest and most advanced international destinations for genital reassignment surgeries. The reason lies not only in the prestige of its healthcare system but also in the existence of specialized teams with extensive experience, such as IM GENDER.

In this article, you will find a practical and medical guide on vaginoplasty in Spain, offering key information for international patients considering traveling in 2025.

Why choose Spain for trans vaginoplasty?

Spain is one of the most advanced countries in the world when it comes to recognizing the rights of trans people. The Spanish Trans Law, together with an inclusive and respectful social context, ensures that those traveling to the country find themselves in a safe and supportive environment.

In addition:

  • The country has first-class healthcare infrastructures, with operating rooms equipped with the latest technology.
  • Surgeons specialized in gender affirmation surgery in Spain are internationally recognized, participating in conferences, publications, and organizations such as WPATH (World Professional Association for Transgender Health).
  • Strict safety protocols and postoperative follow-up minimize risks and support proper recovery.

Within this context, IM GENDER stands out as the leading clinic in the country—a global reference combining medical excellence, advanced high-demand techniques, top-tier facilities, and personalized care. On top of that, the team has over 25 years of experience, having treated more than 4,000 trans people.

If you are considering traveling to Spain for trans surgery, it’s important to keep certain aspects in mind.

What is a vaginoplasty trans?

Vaginoplasty Trans is the surgery that allows the creation of an aesthetic and functional vagina, with enough depth to maintain penetrative sexual relations and erogenous sensitivity. There are different vaginoplasty techniques, such as penile inversion, colovaginoplasty, or peritoneal vaginoplasty, which are applied depending on each individual’s needs.

Preparation before surgery

Experience shows that the success of vaginoplasty in Spain begins before entering the operating room. The IM GENDER protocol establishes several key steps:

  • Temporarily suspending estrogen treatment, while usually maintaining antiandrogens.
  • Performing blood tests and preoperative studies at least 15 days before surgery.
  • Following a low-residue diet in the days prior and completing bowel cleansing before the intervention.

Preparing the personal environment: comfortable clothing, suitable underwear, and removal of accessories or nail polish.

Fertility preservation before surgery

Trans vaginoplasty surgery results in irreversible loss of fertility. It is very important to be informed about this aspect, especially if you wish to have biological children in the future through assisted reproductive techniques. For this reason, many people choose sperm cryopreservation before surgery, which keeps that option open.

Hospital stay and recovery after vaginoplasty

If you plan to travel to Spain for vaginoplasty or phalloplasty, you need to consider the stay and recovery times before returning home. Hospital admission usually lasts around 7 days. However, it is necessary to arrive before and remain after the surgery so the medical team can ensure proper follow-up. This may involve arriving a week prior to the procedure—with the results of the requested tests already in hand.

Once you are discharged, you will need to stay a few more days. Typically, about two weeks, depending on the technique used and your medical history, to ensure proper check-ups and recovery of vaginoplasty before returning to your home country.

Dilations and aftercare

It is important to begin vaginal dilations at the time indicated by the medical team to prevent vaginal closure. IM GENDER has a team of pelvic floor physiotherapists who can guide and advise you to carry them out safely and effectively.

It is also crucial to follow postoperative care instructions to avoid complications during recovery. In addition to an illustrated guide with step-by-step postoperative care instructions, IM GENDER provides a care and dilation kit so you have everything you need.

Contact IM GENDER to receive a personalized evaluation and plan your vaginoplasty in Spain with full safety and expertise guarantees.