Stock Photo: OBSERVATION WARD. Photo essay at Lyon hospital. Department of urology. Phalloplastie, operation of plastic surgery to create a phallus, required to complete a change of sex, following a hystéro_ovariectomie.This takes place in two steps. Here step 2. Step 1: it´s the creation of a neo_penis from a fragment of skin taken from the arm. The skin, the nerves, the veins and the arteries are taken from the not dominant arm to constitute the urethra, the acorn and the penis. The vaginal cavity is block