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This waswhen options for such surgery were limited, and the idea that it could be covered by insurance unheard of.

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In extreme cases of shortage of skin, or when a vaginoplasty has failed, a vaginal lining can be created from skin grafts from the thighs or hips, or a section of colon may be grafted in colovaginoplasty.

Further studies on prospective series are necessary to clarify these points.

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