• Emery Potter, Gresha Shah, Yonah Krakowsky, Kathleen Armstrong, Taylor Remondini, Nahir Anashara, and Alexandra Millman.
• Nurse practitioner at Women's College Hospital (WCH) in Toronto, Ont.
• Can Fam Physician. 2024 Jul 1; 70 (7-8): 456461456-461.

ObjectiveTo summarize current knowledge regarding management of hypergranulation in the context of gender-affirming vaginoplasty.Sources Of InformationThere 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 MessageHypergranulation 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.ConclusionBy increasing clinicians' knowledge of this pervasive complication, patients' postsurgical care and outcomes can be improved.Copyright © 2024 the College of Family Physicians of Canada.

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