The basic steps in a vulvoplasty are:

• The external genitals (penis & scrotum) and gonads (testes) are removed
• The sensitive erogenous tissue (glans) is made into a clitoris
• The urethra is shortened
• Vulva (including a mons, labia, clitoris and urethral opening) are created using scrotal and urethral tissue
• A temporary urinary catheter is inserted into the bladder