Genital nullification

A person assigned male at birth one year after genital nullification surgery
A person assigned female at birth four weeks after genital nullification surgery

Genital nullification, also known as gender nullification surgery or simply nullification, refers to surgical procedures which result in the removal of all genitalia. It may be performed as a form of gender affirming care for transgender and gender diverse individuals, as body modification for aesthetic purposes, or as a sexual practice. Genital nullification is an uncommon procedure for which limited scientific literature is available. It may take place as a single or multi-stage procedure, with surgical methods varying based on patient anatomy and goals – a nullification procedure may involve penectomy, orchiectomy, scrotectomy, vaginectomy, hysterectomy, salpingo-oophorectomy, and/or urethrostomy. Genital nullification is an irreversible procedure with significant impacts on sexual, reproductive, and urinary function. Individuals who have received or wish to pursue nullification are sometimes known as nullos.

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