Almost 54% of participants reported pain, more than 46% had challenges with the frequent regimen required of vaginoplasty patients, and more than 22% had difficulty urinating.

Source: https://www.theblaze.com/news/vaginoplasty-patients-sometimes-experience-minor-post-op-side-effects-including-severe-pain-difficulty-urinating-and-sexual-dysfunction-new-study-finds

Another Sydney plastic surgeon, Dr David Caminer, says he performed his first vaginoplasty on a trans person in 2015, after which he toured the US and Europe to watch surgical units perform gender-affirming surgeries.

Source: https://www.theguardian.com/society/2023/apr/23/they-just-go-to-thailand-the-long-and-costly-wait-for-gender-affirming-surgery-in-australia