Penile Inversion - It's exactly as it sounds and has been used for a very long time. They invert your penis, using the glans as a clitoris.

Peritoneal Pull-through - It's very similar to Penile Inversion. The difference here is that they use peritoneal tissue from your stomach to line the neovaginal canal to potentially give it a self-lubrication effect.

Colon Vaginoplasty - Here, instead of inverting your penis, they take a 7" section of your colon and it's used as the vaginal canal. It has self-lubricating abilities, but that is not scientific fact. It's simply just anecdotal evidence currently.

Zero Depth - Also as it sounds. I think it's also just called a vulvoplasty, but I'm not certain. You have no vaginal canal here.

Penile Preservation - This one preserves your penis for use if you so desire. I know very little about this one aside from the fact that you keep your penis.

From this point forward, everything is anecdotal and based off of my personal experience. I went with Colon Vaginoplasty, but Peritoneal Pull-through was a close second. I didn't consider Penile Inversion because it seems to be getting phased out as Peritoneal Pullthrough is just strictly better it seems. The others I had zero interest in. The major reasons for this is because Peritoneal Pull-through seems to have a depth retention issue and some fun stuff regarding a higher incidence rate of vaginal stenosis. I know 2 people personally that have vaginal stenosis and require some form of revision. Those 2 people are the only 2 I know that have gotten it. The other reason is that Peritoneal Pull-through requires a significant amount of life-long dilation. Colon Vaginoplasty doesn't really. You still have to dilate, but the frequency really drops off after the first year. I was also afraid of just losing depth as I was a grower prior to surgery. We're talking 3x size gain. I knew that I would have trouble with stricture and depth, so I ultimately chose Colon Vaginoplasty. I will say that there is a conceived notion that Colon Vaginoplasty comes with a terrible scent involved, but that's also anecdotal, as I will cover below.

At 7 weeks post, I still think it was the correct decision. I've had no real complications aside from some GI issues that was probably just my IBS being a real jerk. Dilation is simple and I've already gotten to the largest dilator. I don't have the fabled scent that people think comes with it. I did for about 2 weeks mind you, but it's nothing like that anymore. It's a mild scent at best. I can say that this is probably due to my very strict care that I gave myself. I keep myself very clean. In regards to scent though, my puppy wife had an issue with it for a long time and I can't really tell you why. Hers recently just got mild and not awful. So it does happen, but it's not a guarantee.

Ultimately, what you choose is entirely up to you. I'd say research your options thoroughly when it comes time for you to do so. I was conflicted up until about 1 month after my consultation, but that was solely because I was afraid of my IBS acting up (which it did, but it wasn't so bad). Ultimately you will figure out which version is best for you. Hells, you might even get lucky and there may be an even better version of the surgery by then. After all, they're still innovating in the field. Oh, and I can't stress this enough, but BE SURE TO SHOP AROUND FOR SURGEONS. YOU WILL HAVE THIS FOREVER, MAKE SURE IT'S DONE CORRECTLY.