▁The ▁Han ab ira - style ▁( J ap . ▁for ▁pet al ) ▁is ▁a ▁special ▁form ▁of ▁scar ification ▁origin ating ▁in ▁Japan , ▁it ▁involves ▁the ▁decor ation ▁of ▁the ▁m ons ▁pub is . ▁ ▁Cl itor is ▁en larg ement ▁may ▁be ▁achieved ▁tempor arily ▁through ▁the ▁use ▁of ▁a ▁cl itor al ▁p ump , ▁or ▁it ▁may ▁be ▁achieved ▁perman ently ▁through ▁the ▁application ▁or ▁injection ▁of ▁test oster one . ▁Pen is ▁en larg ement ▁is ▁a ▁term ▁for ▁various ▁techniques ▁used ▁to ▁attempt ▁to ▁increase ▁the ▁size ▁of ▁the ▁pen is , ▁though ▁the ▁safety ▁and ▁effic acy ▁of ▁these ▁techniques ▁are ▁deb ated . ▁ ▁Vol unt ary ▁sex ▁re ass ignment ▁ ▁People ▁who ▁are ▁trans gender ▁or ▁inter sex ▁may ▁under go ▁sex ▁re ass ignment ▁surg ery ▁in ▁order ▁to ▁modify ▁their ▁bodies ▁to ▁match ▁their ▁gender ▁identity . ▁Not ▁all ▁trans gender ▁people ▁elect ▁to ▁have ▁these ▁sur ger ies , ▁but ▁those ▁who ▁do ▁usually ▁see ▁an ▁improvement ▁in ▁their ▁sexual ▁lives ▁as ▁well ▁as ▁their ▁mental ▁and ▁emot ional ▁well - be ing . ▁Some ▁of ▁the ▁surg ical ▁procedures ▁are ▁breast ▁augment ation ▁and ▁v agin op last y ▁( cre ation ▁of ▁a ▁v ag ina ) ▁for ▁trans ▁women ▁and ▁m aste ct omy ▁( bre ast ▁removal ), ▁met oid iop last y ▁( el ong ation ▁of ▁the ▁cl itor is ), ▁and ▁ph allo pl ast y ▁( cre ation ▁of