The objective of this video is to familiarize gynecologists with gender dysphoria and the basic steps of male-to-female transgender surgery using the penile inversion vaginoplasty technique. Although many gynecologists may choose not to perform male-to-female transgender surgery, knowledge of this procedure may translate to better understanding and improved care of the transgender patient. Video created by Olivia O. Cardenas-Trowers, MD, Crystal L. Valadon, MBA, Paul B. Knoll, MD, and Murali K. Ankem, MD, MBA. Used with permission.