While "tranny" is historically used as a slur, in the context of post-operative care and medical recovery, discussions often focus on the physical and emotional "features" or outcomes of .

Surgical techniques aim to create functional and aesthetic genitalia that align with a person’s gender identity .

For those who undergo a vaginoplasty with a vaginal canal, dilation is a permanent part of self-care. Because the body naturally treats the surgical site as a wound it wants to close, regular use of dilators is required to maintain the depth and width of the canal .