Inclusion Criteria:  Voluntarily signed written informed consent according to the rules of Good Clinical Practice (Declaration of Helsinki) and national regulations Patient age ≥ 18 years Transgender male, female of gender non-conforming patient with diagnosed gender dysphoria and the specific wish to undergo genital gender affirming surgery Fit for operation, based on the surgeon's expert opinion Patient is able and willing to attend the follow-up consultations  Exclusion Criteria:  Absence of signed written informed consent and thus a patient unwilling to participate. Patient age < 18 years Cisgender patients Patients unfit for operation Patient declares that it will be impossible for him to attend the follow-up consultations