All patients requesting primary surgery are offered the option of a sensate clitoris. This is recommended, as in addition to sexual sensation, it helps to achieve a more satisfactory appearance of the labia post-operatively. The technique uses a portion of the sensitive tip of the penis, which may be dissected free from the remainder of the penis whilst preserving its nerve and blood supply. The clitoris may then be sutured into position at the front of the vulva.

An operative photograph showing the separation of the neoclitoris from the remainder of the penis.