As previously stated, genitals do not define who our gender. Many groups of patients select this procedure, including women and gender non-conforming individuals. A penile sparing vaginoplasty maintains the penis but creates a vaginal canal. A PSV is slightly more of a bespoke procedure. Some patients will want to only have a canal created, and otherwise keep their natal genitals intact. Others will want to use the scrotum to create labia. Others will request urine stream diverted to come out by the canal, instead out the tip of the phallus.