The forearm penile graft prepared during the second stage surgery is transferred to the genital area. Nerves and blood vessels are conserved so the penis has sensation. The new penis is expected to function as a male excretory organ for urine. With the aid of an erectile prosthetic device, it can also achieve penetration during sexual intercourse.
During this procedure, the labia majora are converted into scrotal sacs. The patient may opt to have prosthetic testes inserted in the scrotal sacs in a future surgery.