How does dilation work after Gender Confirmation Surgery? Dr. Ley provides vaginoplasty for trans women and non binary patients. She performs a two stage penile inversion technique. The first stage of surgery creates the vaginal canal, clitoris and labia majora. About 5 Neo vaginas absolutely can self lubricate, the infections that trans women get are standard BV which all women get from time to time, the smell will be different for a while but I'm Genital Surgery for Transgender and Gender Diverse Individuals Springer Nature Link