Gender Affirmation Surgery Rescue Surgeries

Patient Information – Dr. Jesús Lago

Repair and Improvement of Results in Trans Patients

Gender affirmation surgery is a transformative and deeply personal process. However, in some cases, medical, aesthetic, or functional complications may arise that negatively affect the outcome or quality of life of the patient.
Rescue surgery, also known as revision surgery or secondary reconstruction, aims to correct, improve, or partially or completely redo previous gender reassignment surgery (masculinizing or feminizing).
At Clínica 3 de Mayo, we have extensive experience in reconstructive genital surgery and offer highly specialized rescue treatments focused on restoring functionality, physical well-being, and the body identity desired by each patient.

What is rescue surgery in gender surgery?

Revision surgery is a surgical procedure that aims to correct unsatisfactory results, complications, or sequelae from previous gender affirmation surgery, whether performed at another center or for complex medical reasons.
These surgeries may involve reconstruction, cosmetic revision, fistula repair, functional problems, or even complete reoperations.

When is rescue surgery indicated?

  • Postoperative infections or necrosis
  • Urinary, vaginal, or rectal fistulas
  • Urethral or vaginal strictures
  • Chronic pain or dyspareunia
  • Unsatisfactory cosmetic result
  • Severe asymmetries or malposition of structures
  • Partial loss of the neophallus or neoclitoris
  • Urinary incontinence
  • Problems with implants or erectile devices
 

Types of Rescue Surgeries we perform at the 3 de Mayo Clinic

In female-to-male transgender individuals (MTF)

  • Revision or reconstruction of the neovagina (stenosis, insufficient depth, fistulas)
  • Correction of the labia minora/labia majora due to cosmetic defects or asymmetries
  • Revision of clitoroplasty (pain, sensitivity, exposure)
  • Secondary neovaginoplasty in cases of primary failure
  • Vaginal closure and simple vulvoplasty if the patient no longer desires a vaginal canal

In trans men (FTM)

  • Correction of complications after phalloplasty or metoidioplasty (fistulas, necrosis, retraction)
  • Reimplantation or remodeling of neophallus after complications
  • Urethral revision for stenosis or urinary fistulas
  • Aesthetic improvement of the scrotum or correction of testicular implants
  • Placement or revision of erectile prosthesis
  • Correction of scars, dehiscences, or poorly integrated grafts
 

Experience and Approach of the 3 de Mayo Clinic

Dr. Jesús Lago and his team work with a multidisciplinary, sensitive, and technically precise approach, understanding that rescue surgery requires not only advanced surgical knowledge, but also empathy, active listening, and emotional support.
Each treatment is customized based on a comprehensive medical and aesthetic assessment of the patient, their surgical history, and their realistic expectations.

Why choose us for rescue surgery?

  • Experience in complex trans genital surgery
  • Individualized assessment of each case
  • Advanced surgical technology
  • Follow-up protocols and psychological support
  • Absolute respect for gender identity and overall well-being
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Schedule your assessment

If you have had gender affirmation surgery and are unhappy with the results or experiencing complications, schedule an evaluation consultation with Dr. Jesús Lago. Our goal is to help you regain control, comfort, and connection with your body.

Rescue Surgeries Explanatory Video

Dr. Jesús Lago explains rescue surgeries

It is generally recommended to wait at least 6 to 12 months for the tissues to stabilize and heal properly. However, in cases of urgent complications (infections, fistulas, necrosis), surgery may be performed earlier.

In some cases, yes. Dr. Lago can assess the repositioning of the neoclitoris, release adhesions, or improve blood flow to the area. It is not always possible to restore full sensitivity, but it can be improved.

Yes. These procedures tend to be more technically demanding due to the presence of scars, damaged tissue, or altered anatomy. That is why it is essential that they be performed by surgeons with specific experience in this type of surgery.

We can help you. Although reports are helpful, we also perform a clinical assessment and additional tests to understand what has happened and develop an appropriate surgical plan.

Yes. Clínica 3 de Mayo treats both national and international patients. We frequently treat cases of gender reassignment surgery performed abroad. We will guide you through the preliminary tests, documentation, and length of stay in Madrid.

The best professionals for your peace of mind

In addition to applying our knowledge in the field of aesthetics, which is the result of our training, we strive to always provide the best personal treatment to our patients, achieve the best results in each case, and thus ensure their maximum satisfaction.

IMPORTANT: The information contained on this website is for general guidance only. It is not intended to replace a personal consultation where your particular case will be assessed and an accurate diagnosis will be made. If you wish, you can request a consultation without obligation so that we can assess your case. We take care to ensure that your information is correct, but if you do not understand any word or explanation, please do not hesitate to contact us.

Rescue Surgeries

Rescue surgeries are surgical treatments intended to treat or modify complications or negative outcomes from a previous surgical treatment performed at another center.