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Subscriber Account active since. Plastic surgeon Dr. Gary Alter, who has practices in both New York and Beverly Hills, explains on his website how he does the procedure. First, patients have to undergo electrolysis treatments to permanently remove their pubic hair so it doesn't grow inside the vagina. Then, they go under sedation and the surgery, which lasts three to seven hours , begins. Surgeons remove the testicles, then turn the head of the penis into the clitoris, since they actually develop from the same embryonic cells. Alter said he then inverts the penis skin to create the vagina, as you can see in the GIF below. The head of the penis, still attached to the nerves, is threaded through a newly made hole in the penis skin to make the clitoris:.
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