Dr Aguilar offers a more conservative surgical approach than the standard SRS which is called the Cosmetic SRS to provide more options for male to female prospective SRS patients based on their personal preferences.

Cosmetic SRS consists of elimination of male genital, penis shaft and testes, creation of all external female genital structures which are clitoris, clitoral hood, labia major and minora, and urethral and vaginal opening. The vaginal opening 1.5 – 2 inches depth is needed to maintain the natural look of female genitalia and make an illusion that it has a vaginal canal.

Sensitivity and orgasm are achievable with cosmetic SRS as the nerves responsible for sensation are carefully preserved during the surgery.

The operation time of the cosmetic SRS is shorter than standard SRS, it has faster recovery time and the vaginal dilation is no longer required.

Prospective SRS patients who do not wish to have a functional vagina for the use of sexual penetration, the cosmetic SRS should be taken in consideration.

The best candidates for this surgery are those who desire vagina reconstruction in the future. With colon technique or skin graft.