Feminizing genitoplasty is an operation that may modify the genitals for correcting any birth abnormalities or to modify the genitals in sexual reassignment procedures. Feminizing genitoplasty might need a series of operations. The findings of childhood operations for women have been published by international clinics and Disorders of sexual development teams. However, studies focusing on short-term results may not accurately reflect longer-term results. Genetic testing is crucial for evaluating patients with DSD, as it helps predict phenotype, clarify recurrence risk, and aid in making medical decisions. Peripheral blood karyotype analyses detect X & Y chromosomes, while fluorescence in situ hybridization (FISH) helps assess sex chromosome mosaicism and Yp rearrangements. Scientists repair the phallus within cases with ambiguity and significant clitoral hypertrophy before vaginoplasty. The incision is marked using a skin scribe, retracted, and parallel lines drawn.