What is GAS?
For some individuals who are transitioning or have transitioned, they may choose to undergo gender-affirmation surgery (GAS). These surgical procedures are performed by specialised urologists and plastic surgeons to align a person's physical appearance with their gender identity.
Top Surgery
Masculinising Chest Surgery
- Support with surgical recovery
- Return to safe exercise
Breast Augmentation
- Surgical recovery and return to exercise advice
Bottom Surgery
Vulvoplasty / Vaginoplasty/Phalloplasty/ Metiodoplasty
- Pre-surgery bladder, bowel and intimacy baselines
- Post-surgery advice on compression, activity and relative rest
- Therapeutic Ultrasound and Laser for wound healing
- Dilator therapy progressions for vaginoplasty
- Massage advice for wound healing and erectile tissue
- Vibrator advice and therapy
- Return to exercise
How we can help?
Physiotherapy and Gender - Affirming Surgery?
Our trained physiotherapists can assist with the following:
Before surgery:
Your surgeon may ask you to see a pelvic floor physiotherapist for an assessment before booking a surgery date to make sure you have enough control to aid recovery and address any concerns that may already exist, these typically include:
- Reviewing your bladder and bowel habits,
- A Pelvic floor exam to assess your baseline level of control and awareness. This can either be internal or done by ultrasound, depending on your level of comfort
- Exercises and strategies to address any concerns and dysfunction
After surgery:
Once you have had surgery, physiotherapy can help with your recovery and work towards restoring normal function, this includes:
- Education and progression of dilator therapy
- Sensory mapping of the surgical site
- Bladder and bowel management strategies
- Pelvic floor normalisation
- Ultrasound and Laser for scar and adhesion management
- Advice on the use of vibrators when returning to intimacy for both transmasculine and transfeminine clients
More Information
Find out more about Surgical Transition





