Like all the surgical procedures there are always risks associated with surgery. However major complications are uncommon even in MtF GCS, GRS. Bruising around the area may occur and may take 2 weeks to resolve, while major bleeding is rare – less than 0.1%. Infection is rare – less than 0.5% and will require appropriate antibiotics. Injury to the rectum, leading to a fistula(leak) between the rectum and vagina is rare and will require revision surgery. At LTS, this serious complication has never been seen with our MtF GCS patients. Difficulty passing urine can occur and may require a bladder catheter for 1 week. is uncommon but may affect the forehead temporarily, lasting 6 to 8 weeks. DVT/PE (clot in the lungs) is rare and you will be assessed for your individual risk before your surgery and appropriate treatment prescribed. Minor delayed wound healing is common in MtF GCS and will require dressings. Abnormal scarring, hypertrophic or keloid or stretched scars are uncommon. Reduced sensation is expected and improves from 6 weeks to 3 months following surgery.