Often the testicles are removed when the hernia repair is done. If not, the testicles should be removed after puberty. This is fairly minor surgery. The testicles are the source of estrogen in an individual with testicular feminization, so estrogen replacement will be needed after the surgery.
Sometimes surgery is done to create a functional vagina for the purposes of intercourse, but not reproduction. Emotional support or counseling may be needed during reproductive years when the woman may be frustrated by her infertility.
The woman's body will change very little after the underdeveloped testicles are removed.
Removal of the testicles is a safe, minor surgical procedure. Complications from any surgical procedure include risk of bleeding, infection, or allergic reaction to the anesthesia.
Monitoring includes regular physicals and monitoring hormone replacement levels. Any new or worsening symptoms should be reported to the healthcare provider.