Sex Reassignment Surgery :

Change of sex from female to male, involes excision of breast, uterus & ovary. Recostruction of penis by free radial fore arm flap, which is microvascular reconstruction of penis.
Change from male to female, involves reconstruction of vagina from penial skin, breast prosthesis, laser hair removal etc.

Change of shape of external Genitalio:

In male persons size of the penis can be increased by fat injection which is corrected by liposuction from abdomen and thighs. In this technique mostly the girth or circumference of penis is increased rather than length.

For final result the person has to wait around one and half or two months for recovery.

Because extra amount of liquid fat i.e. oil and water which is given along with fat cells gets absorved upto 20% - 30%.

Hence a 2nd sitting are sometimes necessary after 6 months to 1year.

Internal penile silicon prosthesis can be used also in cases of erection difficulty or short penis.

In female persons, shape or external genetalia is now a days called Designer Vagina.

This consist of 3 types of surgeries may be done together or separately.

Hymenoplasty means reconstruction of hymen after sexual intercourse by surgery that means regaining of verginity.

Loose vaginal passage is made tightened by vaginoplasty which regains sexual gratification.

Extra skinfolds of labia-minora can be removed and flat labia-majora can be made buldged by fat injection technique.

Size of penis can be increased by fat injection, in penis, collected by liposuction. This is a repitative procedure.
Shape of female genitalia is changed by cosmetic correction & fat injection. Hymen can be made tightened.