For patients who are uncircumcised, there is usually sufficient skin for a vaginoplasty without using any scrotal skin. Preoperative depilation is not usually needed. Theoretically, there may be some hair growth at the opening of the new vagina, but this area can be easily accessed and treated post-operatively. Where scrotal skin is to be used (most circumcised patients), hair removal is strongly recommended. If it is not done, there is the risk of complications from hairball formation, and it is seldom possible to remove the hair permanently, as the skin from which it grows is high in the vaginal cavity. The skin to be epilated is shown in this photo.
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