Gender affirming surgical procedures can sometimes have negative effects on the pelvis, such as urinary, bowel and/or sexual dysfunction. 

Potential symptoms include: 

• Pain from surgical scars or vaginal penetration
• Generalized pelvic pain
• Inability to achieve vaginal penetration
• Urinary dysfunction such as: urgency, frequency, difficulty starting your stream, spraying and incontinence
• Bowel dysfunction such as: constipation and pain with evacuation

Pelvic health physiotherapy can improve the pain and dysfunction resulting from surgical procedures.