The criteria for Vaginoplasty or Vulvoplasty are guided by the World Professional Association for Transgender Health’s most current
Standards of Care. In British Columbia, the criteria are:

• Persistent gender dysphoria
• Age 18 years or older
• Ability to understand and consent to the surgery
• One year of hormone therapy
• Physical and mental health conditions are reasonably well-managed.
• One year of living in a way that is aligned with your gender. This means that you are actively expressing your gender in your daily life – it does not mean that your gender expression has to conform to the gender binary or a stereotype