“…There is no reported literature on relative risks and benefits of skin graft sites, but scrotal and perineal skin has been used to augment vaginal canal length in primary vaginoplasty cases where penile skin was insufficient. While the groin is a common donor site due to the graft shape it offers, infragluteal folds have also been used successfully in cisgender women with Müllerian agenesis (9). This approach may be less advantageous in patients with posterior thigh hair burden necessitating permanent hair removal prior to surgery.…”