Anaya Bangar Surgery: Gender Affirming Surgery. Do you know about it? First of all, know that former Indian team coach Sanjay Bangar’s son has now become a daughter. She named herself Anaya Bangar. Anaya had already undergone surgery to change from a boy to a girl. But she could not become a girl completely. Therefore, Anaya will now undergo gender affirming surgery. His surgery will take place in Thailand in March. This topic is very interesting. Therefore, we spoke to Dr. Chirayu Praval, a plastic surgeon at Aakash Healthcare who performs this type of surgery, to know everything about this topic in detail. He has explained the complete details of this surgery. You will be able to know the entire process of changing from a boy to a girl or from a girl to a boy medically.

What is gender affirming surgery?
When a boy wants to become a girl, gender affirming surgery is done to change his body parts or change his sex. Dr. Chirayu Praval says that from its name itself it seems that it is a thing to confirm one’s gender. In this surgery, the physical structure required to change gender has to be changed. Meaning, if a boy wants to become a girl, then breasts will be made in the upper part and girlish genitals will be made in the lower part. Apart from this, many things are done to become a complete girl. Her appearance will be made like that of a girl. In this, surgery is done for eyes, nose, mouth, eyebrows, thigh, bottom etc. There is also hormonal therapy to make one feel better. But the most important thing is that the purpose of gender affirming surgery is to create harmony between identity and body, and not just cosmetic change or superficial change.

Who does this surgery?
On this subject, Dr. Chirayu Praval says that this subject is very complex and controversial. We can say this from medical perspective. In fact, some people do not think in the same way as the gender in which they are biologically born. That means someone is a boy, all his body parts are like boys but he is not able to feel like a boy. In medical term it is called gender inconvenience. In this, the person’s thinking, emotions and mind are not aligned with the body. Therefore sex and gender are brought into line. First let us see if there is any hormonal or mental reason for this. If both these reasons are not there and the person is not mentally fit and he is not able to adapt his mind according to his body, he feels suffocated in that body, then in this situation there may be a need for gender change. However, it depends on the person whether he wants to get it done or not.

Is it necessary to have this surgery?
Dr. Chirayu Praval told that some people have so many opposite gender characteristics that they start feeling their gender completely only after taking hormonal therapy. He spends his whole life without surgery. Therefore, who needs this surgery depends on his thoughts, feelings and physical appearance as well as his personal wishes.

What happens in surgery
Dr. Chirayu Praval tells that there are mainly two surgeries for this. Top and bottom surgery. In top surgery, a breast implant is placed on the boy’s chest. This is called breast augmentation. In this, breast implant can also be done with external objects and any fleshy part of the body can be removed and made into a breast. This is called fat grafting. A girl who wants to become a boy has to undergo breast removal or chest reshaping surgery. After top and bottom surgery, the boy has to undergo vaginoplasty. In this, female private parts are made from male sexual organs. Its complete details are below. Apart from these two main surgeries, facial feminization is done for eyebrows, jawline, cheeks etc. to look like a girl. In this, the shape of nose, jaw, chin, forehead, lips, thighs etc. is changed. After the two main surgeries, hundreds of surgeries can be done to create the entire appearance of the woman and there is no end to it.

Why is vaginoplasty necessary to become a woman?
Anaya Bangar has already undergone top surgery. That means she has undergone breast augmentation surgery. Now she will undergo surgery to replace the lower male genitalia with female genitalia. This is called vaginoplasty. Dr. Chirayu Praval says that many things happen simultaneously in this. Orchiectomy is done first. In this the testicles of the man are removed. After this, surgery is done on the man’s penis and a woman’s vagina is created from it. Simply put, the penis is converted into a vagina. This is called common penile inversion technique. In this, first of all the pipe through which urine comes out is shortened so that space can be created there. After this the penis is set upside down in the same pit. In this, the glans is placed on the upper part of the penis. The glans penis performs the function of the clitoris in a woman. Now vaginal folds are made from the skin of the testis. With this it becomes a complete vagina. After this, there are thousands of nerves which provide sensation, all these nerves are set like the female vagina.

Will one get sexual pleasure like a woman after changing from a man to a woman?
Dr. Chirayu Praval told that the vagina is made just like the original. For sexual pleasure, women have a clitoris and men have a glans penis. When surgery is done, the glans penis itself is converted into the clitoris and the vaginal fold is made from the skin of the scrotum. Along with this, female hormones are increased. In all these situations, when she has intercourse with a man, she should get pleasure but nothing can be 100 percent perfect. In such a situation, he will get the happiness of a woman but no one can say whether he will get it 100% or not.

If a boy becomes a girl then there will be a child too
No, Dr. Chirayu Praval says that he will be able to have intercourse like a woman but since he does not have ovaries, he will never produce an egg and in this condition he can never have a child, not even by any artificial means.

How much will this surgery cost?
Dr. Chirayu Praval told that its cost is different everywhere. Getting top surgery done in India can cost Rs 2 to 3 lakh. It may be more or less. Whereas getting vaginoplasty done can cost Rs 3 to 4 lakh.

How long does it take to do this surgery
Vaginoplasty is done in 3 to 4 hours. But after this a few days of rest is required. Also, it is important to remain under medical supervision.

Why do people go to Thailand to get this surgery done?
Sex change surgery has become a sophisticated set up in Thailand. People from all over the world come there to get sex changed. Also, surgeries are done at lower cost there compared to other western countries. On the other hand, people do not get it done in their country because they do not want to expose things too much. That’s why they go to Thailand to get such surgeries done secretly.



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