Bahasa Malaysia in progress. This page sketches the historical development and surgical details of vaginoplasty surgery also often called 'sex reassignment surgery' SRS or 'gender reassignment surgery' GRS. Before reading this page, please read the introduction to the concepts of gender identity, transgenderism and transexualism elsewhere in this website, so that you'll understand why transsexual women undergo these operations. This page clarifies that post-operative MtF transsexual women really do have female genitalia, and will also help readers visualize some of the ordeals trans women endure to achieve their new physical gender status. Instead it is a not-uncommon, naturally-occurring variation in human gendering that has been observed and documented since antiquity.