Back in October, Jazz Jennings opened up to ABC News about her gender confirmation surgery and revealed that the process wasnt exactly seamless. Now, little by little, were seeing footage of what happened during that time in the newest season of her show, I Am Jazz, and it's...intense.

Season five started out with Jazz preparing for gender confirmation surgery-but hers was a bit more complicated than others (Jazz hadn't gone through puberty because of hormone blockers, so she didn't have enough penile skin to create a vagina).

View this post on Instagram Tonight on @tlc at 9PM ET is a new episode of #IAmJazz and the continuation of my gender confirmation surgery. This episode is going to be the most dramatic yet as I end up experiencing a major complication. Going into the procedure, we knew it would be difficult since I had a lack of genital tissue due to my early suppression. Ultimately, I end up having to face one of the biggest challenges of my life. Its going to be intense! A post shared by Jazz Jennings (@jazzjennings_) on Jan 29, 2019 at 10:14am PST

Despite a longer-than-usual surgery (hers took double the time of a typical gender confirmation procedure), Jazz's surgery went well, according to Newsweek . "It's better than what I hoped for," said Jess Ting, MD, Jazz's doctor.

But the real reveal happened when Jazz finally saw her new vagina for the first time-on TV, no less. "Oh my god, that's crazy," she said. "It's a pretty vagina!" Jazz also had to learn how to use her new vagina, telling her family I dont think I know how to pee!

Everything seemed fine, but a few days later, Jazz started having complications. "Her wounds were definitely separating and a blood blister began to form," her mom Jeanette said. Jazzs doctor recommended that she go back to the OR for more surgery.

That's what happened in the latest episode of I Am Jazz. In episode five, Jazz was wheeled off into surgery with her mom in the waiting room, according to Newsweek . It turns out, Jazz was taken into surgery at just the right time, according to Dr. Ting. "As I was getting her on the bed, I heard something go pop," he said. "When I looked, the whole thing had split open. If we hadn't done it today, in the OR, it would've happened in the hotel."

Jazz was in the hospital for 10 more days after that, until she was finally discharged. But it took another 13 days for her doctor to determine that she was okay to fly back home. "I'm just so excited, I'm very, very homesick," Jazz said. "I can finally move forward in the healing process."

Back up...when did Jazz's surgery ordeal begin?

TLC star Jazz Jennings revealed back in June that she was preparing to undergo gender confirmation surgery. Her new show, I Am Jazz, follows her throughout her journey.

Jazz, 18, was assigned male at birth but identifies as female . She had gender confirmation surgery in June, and told ABC News that this was something she'd wanted for a long time. This is a moment that I had always envisioned and just experiencing it was so surreal," she said. "I was like, I cant believe this is happening.

Jazz said her surgeon also requested that she lose 30 pounds before going under the knife. That was really, really challenging because I had an addiction to food, she said. And it was something that gave me comfort. And I had to let that go because the surgery is so much more important to me than any slice of cake or pizza.

Okay, tell me more about gender confirmation surgery.

Gender confirmation surgery is a surgical procedure that can help "give transgender individuals the physical appearance and functional abilities of the gender they know themselves to be," according to the American Society of Plastic Surgeons (ASPS).

For a male-to-female transition, gender confirmation surgery may include facial surgery, top surgery (to construct and shape breasts) and/or bottom surgery, to reconstruct male genitalia to female genitalia, according to the ASPS. What kind of surgery a person gets depends on their specific desires, and not all transgender people choose to have surgery, according to GLAAD .

Jazz previously revealed on her YouTube channel that she was having a vagina constructed, which is called transfeminine bottom surgery. The surgery transforms existing male genitalia and reconstructs it into female genitalia, the ASPS says.

Since Jazz began transitioning at a young age and never went through puberty, her procedure was slightly different. At age 11, Jazz had a hormone blocker implanted in her arm to hinder the growth of her penis, according to the Daily Mail .

Because she didn't develop fully as a male, there wasn't wasnt enough tissue in her genital area to construct a vagina. Instead, she likely underwent an experimental procedure that involved taking out her her peritoneal lining (a thin membrane that surrounds her stomach) to build the vaginal canal-something she discussed on YouTube in May before her surgery.

Im going to have new genitalialike penis to vaginathats some serious sh*t, yall, she said in the YouTube video.

Jazz, whose gender confirmation will be covered even more in the upcoming season of her show, I Am Jazz, premiering January 1, 2019, told ABC News that she saw her surgery as the end of her transition. Ive gone through the whole medical process, and this is really the last thing that will validate my identity as a woman, she said. There is nothing else after this. I just get to be myself, be in the body that Ive always wanted. And then I can live my life as just Jazz.