RT Journal Article SR Electronic T1 Hypergranulation management following penile inversion vaginoplasty JF Canadian Family Physician JO Can Fam Physician FD The College of Family Physicians of Canada SP 456 OP 461 DO 10.46747/cfp.700708456 VO 70 IS 7-8 A1 Potter, Emery A1 Shah, Gresha A1 Krakowsky, Yonah A1 Armstrong, Kathleen A1 Remondini, Taylor A1 Anashara, Nahir A1 Millman, Alexandra YR 2024 UL http://www.cfp.ca/content/70/7-8/456.abstract AB Objective To summarize current knowledge regarding management of hypergranulation in the context of gender-affirming vaginoplasty.Sources of information There have been no studies to date examining hypergranulation treatment options following vaginoplasty. Evidence from the literature on this complication in other settings and the opinions of authorities and experts in this area were used to inform this review.Main message Hypergranulation is a common complication of vaginoplasty, but many care providers may not know how to identify or treat it. This short report will review hypergranulation after vaginoplasty, including risk factors, identification, and treatment options such as douching, silver nitrate, and topical steroids.Conclusion By increasing clinicians’ knowledge of this pervasive complication, patients’ postsurgical care and outcomes can be improved.