The goal of male to female (MtoF) sex reassignment surgery (SRS) is to provide an aesthetically attractive and functional result, which permits the new female effortless intromission, preserving the potential for orgasm. Although many of these patients would benefi t from imaging investigation, either to plan SRS or to manage postoperative complications, imaging is not routinely performed in the standard clinical practice. This likely arises, at least in part, from the lack of confidence of most radiologists with the pelvic anatomy after genital reconfi guration and possible postoperative complications.
