What is
Gender-Affirming Hysterectomy?
A hysterectomy is a surgical procedure that involves removing the uterus and, frequently, the ovaries and fallopian tubes (salpingo-oophorectomy). In the context of gender transition, this procedure aims to align internal anatomy with the patient’s identity.
At our centre in Zaragoza, we perform this surgery with a whole-person health approach. It is not only about permanently eliminating the possibility of menstruation, but also about preventing future complications from long-term testosterone use and ensuring your hormonal system works in sync with your life goals.
Your transformation:Your safety is our priority
Pre-operative assessment
We review your medical history in Zaragoza and coordinate with your endocrinologist to ensure your hormone levels are optimal.
Surgical technique
We prioritise laparoscopic hysterectomy (minimally invasive). It is performed through small incisions that leave barely any mark.
Hospital Stay
It generally requires only 24 hours in hospital. Our team will be with you to ensure excellent pain control.
Recovery
Returning to everyday life is quick (1–2 weeks), although we recommend avoiding strenuous effort during the first month.
Impact on your
Health and Hormonal Balance
- Permanent cessation of the cycle: Complete elimination of menstruation and any breakthrough bleeding, reducing associated dysphoria.
- Hormonal stability: By removing the ovaries, the main source of oestrogens is suppressed, allowing testosterone to work more efficiently and consistently.
- Prevention and safety: Eliminates the risk of developing conditions in organs that no longer serve a function in your life, such as uterine or ovarian cancer.
- Peace of mind: Reduces anxiety associated with regular gynaecological exams, allowing you to live with greater disconnection from internal biological organs.
- Preparation for future steps: It is a prerequisite or can be performed at the same time as other genital reconstruction procedures such as metoidioplasty or phalloplasty.
Frequently asked questions
At our clinic in Zaragoza, we not only address your medical concerns, but we also support you emotionally at every stage. Your safety and your identity are our priority.
Do I need to stop testosterone before surgery?
In general, it is not necessary to interrupt testosterone treatment. At our clinic in Zaragoza, we coordinate the anaesthetic protocol so you can safely continue your usual therapy.
What happens if I decide to keep my ovaries?
It is a valid option. Some people choose to keep one or both ovaries as a hormonal “reserve” in case they stop testosterone in the future. During the consultation, we will review the medical pros and cons of this decision for your specific case.
Is it a very painful surgery?
Thanks to the laparoscopic technique, pain is very manageable and similar to intense abdominal discomfort during the first two days. It is perfectly controlled with the medication we will prescribe.
Will it leave visible scars?
The laparoscopic incisions are only 0.5 to 1 cm. Over time, these small marks are usually completely camouflaged by abdominal hair or skin pigmentation.
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