The Hawkins Framework: Augmented Functional Vaginoplasty (AFV) — A Theoretical Proposal for Preserving Ejaculatory Function in Gender-Affirming Bottom Surgery for Transgender Women

Current gender-affirming vaginoplasty techniques achieve strong anatomical and aesthetic outcomes but permanently eliminate fluid-producing capacity during orgasm through removal of the testes and seminal vesicles. For a subset of transgender women, this loss is a meaningful and underaddressed source of post-surgical dysphoria. This document presents the Hawkins Framework — a theoretical surgical and biomedical engineering proposal conceived by Ariel Hawkins on May 25, 2026 — outlining a pathway to preserve and functionally integrate these structures within an augmented vaginoplasty procedure. The framework comprises four interconnected innovations: (1) internal testicular relocation to the inguinal canal, (2) thermoregulatory Peltier implant wrapping with integrated failsafe alert system to maintain spermatogenic temperatures at 33–35°C, (3) seminal vesicle retention with microsurgical duct rerouting into the neovaginal canal, and (4) continuation of standard anti-androgen hormonal therapy as the endocrine management strategy — exploiting the observation that this replicates the pre-surgical hormonal state already experienced by transgender women on HRT. The proposal includes anatomical diagrams, a candidate selection criteria framework, a projected complications and success rate analysis drawn from analogous procedures, anticipated objections with responses, and a staged four-phase research and development pathway toward clinical validation. This is a theoretical proposal intended to initiate academic and clinical discussion. It does not constitute a validated surgical protocol. The author encourages engagement from reconstructive surgeons, gender medicine researchers, and biomedical engineers.