 Burou's first vaginoplasty, in 1956, took him three hours to complete, however at the height of his sex-reassignment work by 1974, performing up to six vaginoplasties a month, he could complete the procedure in one hour.The post-op patient's arms were strapped to the bed for the first night after the procedure.The drain was removed 48 hours after surgery, the catheter four days, and the stent eight.