Why WIH International Hospital Recommends the Minimally Invasive Approach
Laparoscopic colon vaginoplasty is a modern, minimally invasive technique used at WIH International Hospital for gender-affirming surgery. This approach offers multiple advantages over the traditional open abdominal method — especially in terms of safety, comfort, and cosmetic outcome.
✓ Minimal Scarring Compared to Open Surgery
In traditional open colon vaginoplasty, patients often have a large, visible scar — either a transverse (C-section–like) or vertical midline incision. By contrast, laparoscopic colon vaginoplasty uses just a few small puncture incisions that fade significantly over time. The result is a cleaner, more discreet appearance with far less visible scarring.
✓ Less Pain and Faster Recovery
Because this technique avoids cutting through large muscle layers, patients experience significantly less postoperative pain. Recovery is generally faster, with shorter hospital stays and a quicker return to normal daily activities — a major benefit for both physical healing and mental well-being.
✓ Lower Risk of Bowel Adhesions and Obstruction
Open surgery exposes more of the intestines and increases tissue trauma, which can lead to adhesions — internal scar tissue that may cause chronic abdominal pain or even bowel obstruction. Laparoscopic surgery significantly reduces this risk, offering a safer long-term outcome.
✓ Improved Access in Patients with High BMI
For patients with higher BMI, accessing the pelvic region via a large open incision can be difficult and carry additional risks. The laparoscopic approach provides precise, controlled access to deep pelvic structures, including the cul-de-sac, making it a safer and more effective choice regardless of body type.
✓ Suitable for Both Primary and Secondary Vaginoplasty
Laparoscopic colon vaginoplasty is ideal for both primary procedures (for patients choosing colon-based vaginal creation as their first surgery) and secondary or revisional cases (for those requiring reconstruction after previous penile inversion or failed vaginoplasty). Its versatility and safety make it a preferred technique among experienced surgical teams.
Advanced Technique at WIH International Hospital
Dr. Chettasak Tulayaphanich and his expert colorectal team specialize in laparoscopic colon vaginoplasty, combining cutting-edge technology with compassionate care. With over 20 years of experience in gender-affirming surgery, WIH International Hospital in Bangkok, Thailand, is recognized as one of the world’s leading centers for this advanced technique.
