That's not a vagina. Not even close.
If he hated his dick so much, he would have been better off as a nullo.
Given how fucking insane the world is these days, however, he probably couldn't get a surgeon to simply remove his genitals because that would have been "unethical," and his desire for that would have been seen as a mental illness in need of intensive therapy, not surgery. But castrating him and using his penis and empty scrotum to create a gaping wound that requires painful dilation and careful attention to hygeine lest it seal up or become infected, because he claims to identify as a woman--despite being an obvious sped with a mental disability that merits a tugboat? TOTALLY OKAY. TOTALLY FUCKING OKAY AND ETHICAL.
I'm old enough, and have seen enough shit, to know that one day in the future these times we live in, where even the mentally exceptional can get surgeons to mutilate their bodies so they can pretend to be the opposite sex--and do it at taxpayer expense--will be looked back on in horror. "Holy fuck; how could they justfy that?" people will ask. I hope I live that fucking long, and get asked to explain this madness to people who probably aren't even born yet; really, I do.