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Jazz Jennings has been open about the highs and lows of her life as a transgender woman. In the last two years, the Youtube star and LGBTQ+ activist has undergone multiple gender confirmation surgeries.

Now, Jazz has good news for her fans and followers: surgery number three is complete. She shared a smiling photo of herself in a hospital gown in bed. Jazz explained why she's smiling in the Instagram caption: "I’m feeling so great after completing my third surgery! This third procedure was for cosmetics, and I’m super happy with the results. Thank you to everyone who has followed my journey and supported me along the way❤️💕"

Her family has been by her side through each surgery. Her brother Sander Jennings commented on her photo: "Although this surgery was one of the scariest moments of my life, I am so glad I was there to stick by your side the entire way 😊👏🏻"

TLC star Jazz Jennings revealed back in June 2018 that she was preparing to undergo gender confirmation surgery. Her TLC show, I Am Jazz, follows her throughout her journey.

Jazz was assigned male at birth but identifies as female. She had her first gender confirmation surgery in 2018, 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 can’t 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.”

She previously opened up to ABC News about her gender confirmation surgery and revealed that the process wasn’t exactly seamless. Season five revealed that Jazz's surgery 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).

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 don’t 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. Jazz’s doctor recommended that she go back to the OR for more surgery.

In season five 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."

The sixth season I Am Jazz, which is airing Tuesdays on TLC, continues to document Jazz's transition and all of its ups and downs.

In the season premiere, Jazz undergoes a corrective surgery on her clitoris.

Jazz shared her own perspective on Instagram and opened up in the caption: "As portrayed in this teaser, the past year has been extremely challenging. I have experienced some of my highest highs and lowest lows... Although it continues to be difficult to cope with the hurdles life throws my way, I have been actively working every day to get better and improve my mental health."

Earlier this year, she showed off her scars in swimsuit photos on Instagram. Jazz shared the big reveal for the #decadechallenge on New Year's Day. In the photos, she's wearing a maroon one-piece swimsuit and her scars on her upper thighs are clearly visible. She wrote in the caption: "These are my scars on full display in #2019. I'm proud of my scars and love my body just the way it is. I call them my battle wounds because they signify the strength and perseverance it took to finally complete my transition❤️#decadechallenge."

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 wasn’t 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.

“I’m going to have new genitalia…like penis to vagina…that’s some serious sh*t, y’all,” she said in the YouTube video.

Jazz, whose third and possibly fourth gender confirmation surgeries will be covered even more in season six of her show, I Am Jazz, told ABC News that she saw her surgery as the end of her transition. “I’ve 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 I’ve always wanted. And then I can live my life as just Jazz.”

The transgender TLC star is showing off her bikini body just a month after fans got a glimpse of her undergoing her third gender confirmation surgery.

"Confidence is 🔑 Strutting into a new episode of #IamJazz on @tlc like… 💕," the 19-year-old captioned a gif of herself strutting in a teal bikini.

"So proud of you for embracing your body and loving yourself! Continue being confident ❤️," Jennings' brother, Sander, commented on the post. "You are a Queen."

"Bawdyy bawdy bawdy," commented Pose's Indya Moore.

Jennings later followed up the post with a group photo featuring herself with her parents and siblings.

"When the lights fade away and cameras shut down, my family always remains by my side," she captioned the adorable family pic. "A unified kinship full of laughter, love, and support."

The two posts come a week after the reality star shared a hospital bed selfie, which was captured after her third procedure.

"I'm feeling so great after completing my third surgery! This third procedure was for cosmetics, and I'm super happy with the results," she wrote.

In the show's new season — of which PEOPLE shared a sneak peek on Monday — Jennings readies to undergo the surgery with ex-boyfriend Ahmir by her side.

"Ahmir and I are not together anymore, but I wanted his support as a friend," she says in the clip.

Before Jennings goes into the operating room, the doctors tell her that there is "uncertainty you have to account for."

The new season also follows Jennings as she's torn between Harvard University and Pomona College as her college pick.

"Between graduating high school, putting this drag show together, and preparing for college, I feel like there is a 50 lb. weight on my shoulder," Jennings says.

Jennings first underwent her gender confirmation surgery in June 2018, when she was 17. That October, she revealed she had suffered a complication and needed a second procedure.

On New Year's Eve, Jennings showed off her scars from her latest surgery on Instagram, calling the marks her "battle wounds."

The 19-year-old transgender activist and reality star wrote in the caption, “These are my scars on full display in #2019.”

“I’m proud of my scars and love my body just the way it is,” she continued. "I call them my battle wounds because they signify the strength and perseverance it took to finally complete my transition❤️#decadechallenge”

Jazz’s mother, Jeanette Jennings, responded to her post with praise in the comments, saying, “My sweet girl, you are the strongest and bravest of all the souls I’ve ever known and I’m blessed to be your mom."

Jazz received national attention back in 2007 when an interview with Barbara Walters aired on "20/20," which led to other high-profile interviews and documentary shorts. In 2015, the reality series "I Am Jazz" premiered on TLC, featuring Jazz and her family "dealing with typical teen drama through the lens of a transgender youth."

Jazz used the start of this year to showcase the tough health moments in her life, including a throwback when she underwent gender confirmation surgery back in 2018.

The YouTuber and activist shared a video message as part of a “decade challenge” to her followers on Instagram about the positive support that she’s received over the course of the past few years. In a rare video from the activist, she thanked her supporters and expressed her gratitude to everyone who has been positively affected by her journey and story.

Jazz got sentimental in the caption of her video, describing that tough year and thanking her fans for supporting her through all the highs and lows.

“#2018 was a rough year in my life,” she wrote. “I experienced a major complication with my gender confirmation surgery and wound up back in the OR one week after the initial procedure. It was a tough journey, but experiences like that one only make us stronger in the end. Though it can be hard at times, a positive mindset and the support of those around you can help you conquer any challenge.”

Jazz first revealed that she was going to undergo a procedure in a YouTube video titled "Preparing For Gender Confirmation Surgery." On June 1, 2018, she went into detail about the surgery she would receive at the end of the month.

“If I put out this information for people to see, they won’t need to ask any more questions," she explained in the video. "And also, it’s educational within the community as well. A lot of parents who have transgender kids are like, ‘What do I do? I don’t know much about this process.’ And seeing our show kind of helps them figure out what steps they could take to help their kids and what the journey might look like in the future."