Some trans people have an orchiectomy as part of gender-affirmation treatment. Orchiectomy is done at the same time as vaginoplasty but some people may prefer to have only this procedure or to have this procedure done first and genital surgery done at a later date. If orchiectomy is done prior to vaginoplasty the surgeons may need to use additional skin grafts (e.g., from the upper thighs) to construct the vagina.
Some benefits of this procedure include possible reduction in estrogen dose, elimination of the need for testosterone blockers and reduced gender dysphoria.
This procedure involves removal of the testes through an incision made in the middle of the scrotum. This procedure results in permanent infertility.
Additional information about orchiectomy can be found on the Transgender Health Information Program website: www.transhealth.phsa.ca