Choosing to undergo vaginoplasty is a deeply personal and empowering decision. Preparation is not just a logistical step; t’s part of your emotional and physical journey toward alignment and comfort in your body. Here’s what you should know before surgery to make the process as smooth as possible.
Hormone Therapy Adjustments
If you’re taking oestrogen, it’s important to pause any treatment your surgeon advises about a month before surgery. This helps reduce the risk of blood clots during and after the procedure. You can usually continue taking anti-androgens (such as Androcur or Decapeptyl) right up until surgery and resume them about one to two weeks after. Always follow your surgeon’s and endocrinologist’s guidance before making any changes.
One Month Before Surgery
This is the moment to start caring for yourself more intentionally. Focus on rest, hydration, balanced meals, and emotional grounding. Avoid alcohol and drugs at least 15 days before your operation, as both can interfere with your recovery and put your health at risk.
Diet and Digestive Preparation
Five days before surgery, you’ll begin a low-residue diet to reduce intestinal activity. This helps the body prepare safely for surgery. You’ll receive a vaginoplasty booklet with the list of foods to enjoy and those to avoid, as well as menus, so you are not confused about what to eat and what not. Think about this digestive cleansing as a small act of love for your future self. One day before surgery you will check in the clinic and the nurses will help you prepare in the comfort of your private room. There´s a large sofa bed in every room so your loved one can stay with you every single day you are recovering, and breakfast is included.
Emotional Readiness
Feeling nervous, excited, or both is completely normal. Surround yourself with supportive friends, online communities, or your Safe Rebirth advocate, everybody is here to help you. Knowing that you’re not alone can make the preparation period more peaceful.
Remember: Preparation is part of healing. Taking these steps mindfully will help your body and mind transition smoothly into recovery.
Preparing your trip
You will receive a travel plan of the surgeon with clinic or hospital location, spots of interest, Airbnbs closest to the clinic and restaurants. This is just a guide but you are welcome to stay wherever you prefer and if you wish something specific and want help, our travel wingman Oscar will help you.
Written by the Safe Rebirth Care Team, specialists in gender-affirming surgery coordination and holistic patient support across Spain. The medical information in this post is extracted from the ´vaginoplasty booklet´ written by. Dr. R. Vega.
What Sets Safe Rebirth Apart
At Safe Rebirth, we don’t just coordinate surgeries, we provide a fully personalized, compassionate experience from start to finish. We prioritize your emotional and physical well-being, offering personalized travel guides. With no gatekeeping, no unnecessary reports, and inclusive support before, during, and after surgery, Safe Rebirth ensures your journey is not only safe but also stress-free and empowering.



