Pros

~60% lower risk of urethral stricture and fistula if you have a penis created with urethral lengthening {Al-Tamimi, 2018 #12293}

Masculine perineum

Fewer gynecologic organs

Lower risk of cancer or other problems with the vagina

Cons

Irreversible

Must have a hysterectomy / ovary removal prior to or with vaginectomy

No longer able to become pregnant

Unable to have penetrative vaginal intercourse

Risks

Injury to the rectum/bowel/intestines (requiring bowel diversion/stoma) (~1-2%)

Injury to the urinary tract (2-5%)

Need for repeat procedures (<2%-5%)

Anesthetic risks

Persistent gender dysphoria