Female Nullification

Female nullification, or genital nullification surgery (also called nulloplasty), is a type of gender-affirming surgery for non-binary or agender individuals, particularly those assigned female at birth (AFAB). The procedure removes genital tissue (like the clitoris, labia, and uterus) and creates a smooth, flat pelvic area with only urethral and anal openings. This aligns their physical body with a non-binary identity or desire for a sexless appearance, often involving burying sensitive tissue for retained sensation.

What It Involves (for AFAB individuals)

• Removal of tissue: Vaginectomy, labiectomy, clitorectomy, vulvectomy, and sometimes hysterectomy (uterus removal).
• Urethral modification: Shortening the urethra and creating a smooth opening.
• Creation of a smooth area: Removing excess skin and tissue to create a flat, smooth transition from the lower abdomen to the groin.
• Sensation preservation: Often, clitoral nerve tissue is preserved and buried in the mons (the mound of flesh above the pubic bone) for potential sensation.

Goals and Reasons

• Gender affirmation: To align physical characteristics with an agender or non-binary identity.
• Dysphoria relief: To alleviate gender dysphoria for individuals who don’t feel male or female.
• Asexuality/Sexlessness: To achieve a body that reflects a physically sexless or asexual identity.

Recovery & Considerations

• • Recovery: Involves significant pain, swelling, limited movement, and restrictions on heavy lifting for several weeks to months.
  • Customization: Procedures are highly customizable to meet individual goals.