Abdominal phalloplasty is a surgical procedure performed as part of gender confirmation surgery for transgender men or non-binary individuals. It is a type of phalloplasty that involves the construction of a neopenis using skin and tissue from the abdomen.

Here’s a basic outline of the procedure:

  1. Tissue Harvesting: A section of skin, fat, and sometimes muscle is taken from the lower abdomen to form the neopenis. The size of the graft typically determines the length and girth of the neopenis.
  2. Neopenis Construction: The harvested tissue is rolled into a tube and attached to the pubic area, forming the shaft of the neopenis.
  3. Urethral Lengthening: In many cases, the native urethra is lengthened using tissue from the labia minora or the lining of the vagina. This allows for urination through the neopenis. This can be a complex procedure and may be performed in a separate surgery.
  4. Glansplasty: This is a procedure to create the head of the penis. This is usually performed at a later stage.
  5. Scrotoplasty: This involves creating a scrotum using the labia majora, and can be done during the same surgery or as a separate procedure. Testicular implants can be inserted to give the scrotum a more typical male appearance.
  6. Erectile Device Implantation: If desired, an erectile device can be implanted to allow for erections. This is usually done in a separate surgery after the phalloplasty has fully healed.

As with any surgical procedure, abdominal phalloplasty carries risks, including infection, bleeding, issues with wound healing, loss of sensation, and complications related to urethral lengthening, such as strictures or fistulas. It’s essential to have an open and thorough discussion with your healthcare provider about these risks and the potential benefits before deciding to undergo surgery.

Keep in mind that, as of my last training data cut-off in September 2021, medical procedures might have been updated or changed since then. Always consult with healthcare professionals to get the most recent and relevant information.

Abdominal Phalloplasty

Abdominal phalloplasty is a gender-affirming surgical procedure designed to create a neophallus (new penis) for transgender men or individuals assigned female at birth (AFAB) who desire masculinization. Here are key details about abdominal phalloplasty:

  1. Surgical Technique:
    • Abdominal phalloplasty involves using tissue from the lower abdominal wall to construct the neophallus. The procedure typically utilizes a pedicled or free flap, with the radial forearm free flap (RFFF) and the anterolateral thigh flap (ALT) being common choices.
  1. Donor Site Options:
    • The abdominal flap is an option for individuals who may not be suitable candidates for forearm or thigh flaps. This technique uses tissue from the lower abdominal region, including skin, fat, blood vessels, and sometimes muscle.
  1. Urethral Lengthening:
    • Urethral lengthening may be performed simultaneously to enable standing urination. This involves connecting the neophallus to the native urethra, allowing for a more natural urination experience.
  1. Sensate Neophallus:
    • Sensation is a crucial aspect of gender-affirming surgery. Surgeons aim to preserve and potentially restore sensory nerve function to provide tactile sensation to the neophallus.
  1. Scrotoplasty:
    • Abdominal phalloplasty often includes scrotoplasty, creating a scrotum for a more complete genital appearance. Testicular implants may be inserted to enhance the aesthetic outcome.
  1. Multiple Stages:
    • Abdominal phalloplasty is typically performed in multiple stages due to the complexity of the procedure. Stages may include initial construction, urethral lengthening, and later revisions if necessary.
  1. Recovery and Rehabilitation:
    • Recovery after abdominal phalloplasty involves postoperative care, pain management, and follow-up appointments. Patients may need to refrain from strenuous activities during the initial healing period.
  1. Complications and Risks:
    • As with any surgery, there are potential complications and risks, including infection, hematoma, flap-related issues, and complications related to urethral lengthening. Close postoperative monitoring is essential.
  1. Postoperative Care and Diligence:
    • Diligent postoperative care is crucial for optimal outcomes. Patients are provided with instructions for wound care, hygiene, and monitoring for potential complications.
  1. Psychosocial Support:
    • Psychosocial support is an integral part of the process. Mental health professionals can assist individuals in navigating the emotional aspects of gender-affirming surgery.

Abdominal phalloplasty is a complex and personalized surgical procedure that requires careful consideration of the patient’s goals, anatomy, and overall health. As with any gender-affirming surgery, individuals considering abdominal phalloplasty should consult with experienced healthcare professionals to make informed decisions aligned with their gender identity and well-being.

 

Female-to-Male (FTM) Surgery

Female-to-Male (FTM) surgery, also known as masculinizing or gender-affirming surgery, encompasses a range of procedures designed to align an individual’s physical characteristics with their affirmed gender identity as male. Here are key details about FTM surgery:

  1. Chest Surgery (Top Surgery):
    • Procedure: Mastectomy or chest masculinization surgery removes breast tissue to create a more masculine chest contour.
    • Options: Double incision, periareolar, or keyhole procedures, chosen based on chest size and skin elasticity.
    • Nipple Grafts: Often involves repositioning and resizing the nipples for a natural appearance.
  1. Hysterectomy with Salpingo-Oophorectomy:
    • Procedure: Removal of the uterus, fallopian tubes, and ovaries.
    • Purpose: Stops menstrual cycles and eliminates the need for ongoing gynecological care.
  1. Hormone Therapy:
    • Medications: Testosterone administration is a cornerstone of FTM transition, promoting masculinization of secondary sex characteristics such as facial hair growth, voice deepening, and muscle development.
  1. Genital Reconstruction Surgery (Bottom Surgery):
    • Phalloplasty: Constructs a neophallus using tissue grafts, often from the forearm or thigh. Urethral lengthening and scrotoplasty may be included.
    • Metoidioplasty: Enlarges the clitoris, using its natural erectile function to create a neophallus. Urethral lengthening and scrotoplasty are also options.
  1. Urethral Lengthening:
    • Procedure: Connects the neophallus to the native urethra, allowing for standing urination.
    • Options: May be performed in conjunction with phalloplasty or metoidioplasty.
  1. Scrotoplasty:
    • Procedure: Creates a scrotum for a more masculine appearance. Testicular implants can be inserted for added realism.
    • Timing: Often performed alongside genital reconstruction surgery.
  1. Voice Training:
    • Purpose: Some individuals pursue voice training to achieve a deeper, more masculine voice to complement physical changes.
  1. Legal Name and Gender Marker Change:
    • Process: Many individuals choose to legally change their name and gender marker on identification documents to reflect their affirmed gender.
  1. Psychosocial Support:
    • Importance: Mental health support, including therapy and peer support, is integral to the FTM transition process to address emotional aspects and navigate societal challenges.
  1. Postoperative Care:
    • Recovery: Each surgical procedure involves a recovery period with specific postoperative care instructions. Diligent follow-up care is essential.

FTM surgery is highly individualized, with individuals choosing procedures based on personal goals, preferences, and medical considerations. Consultation with experienced healthcare professionals and support from mental health providers contribute to a successful and affirming FTM transition.

 

Phalloplasty Procedure

Phalloplasty is a complex surgical procedure designed to create a neophallus (new penis) for transgender men or individuals assigned female at birth (AFAB) who are undergoing gender-affirming surgery. Here are key details about the phalloplasty procedure:

  1. Patient Evaluation:
    • Consultation: The process begins with a comprehensive consultation to assess the patient’s goals, medical history, and suitability for phalloplasty.
  2. Choice of Graft Site:
    • Options: Common graft sites include the radial forearm free flap (RFFF) and the anterolateral thigh flap (ALT). The choice depends on factors like patient preference, donor site characteristics, and surgeon expertise.
  3. Preoperative Planning:
    • Mapping: Surgeons meticulously plan the dimensions of the neophallus, considering length, girth, and aesthetics. The urethral position is also determined.
  4. Flap Harvesting:
    • RFFF: Involves taking a section of the forearm, including skin, subcutaneous tissue, blood vessels, and possibly a portion of the radial bone.
    • ALT: Utilizes tissue from the thigh, incorporating skin, fat, and blood vessels.
  5. Urethral Lengthening:
    • Procedure: Involves extending the urethra to allow for standing urination.
    • Options: Urethral lengthening can be performed concurrently with the initial phalloplasty or in a separate stage.
  6. Microsurgical Anastomosis:
    • Reconnection: Microsurgery reconnects the blood vessels of the graft to those in the genital area to ensure sufficient blood supply for the neophallus.
  7. Nerve Connection:
    • Sensory Reinnervation: Nerves from the graft are connected to nerves in the recipient site, aiming to restore tactile sensation to the neophallus.
  8. Scrotoplasty:
    • Creation of Scrotum: A scrotum is fashioned to enhance the aesthetic appearance. Testicular implants may be inserted to provide a more natural look.
  9. Penile Implant (Optional):
    • Subsequent Stage: Some individuals opt for penile implants in a separate stage after the initial phalloplasty to enable erectile function.
  • Postoperative Care:
    • Hospital Stay: Patients typically stay in the hospital for an initial recovery period.
    • Follow-Up Visits: Regular follow-up visits are scheduled to monitor healing, address concerns, and discuss any necessary revisions.
  • Recovery and Rehabilitation:
    • Activity Restrictions: Patients are advised on postoperative care, including restrictions on activities, wound care, and hygiene practices.
  • Complications and Revision Surgery:
    • Possible Issues: Complications may include issues with blood supply, urethral complications, or concerns related to sensation. Revision surgeries may be performed to address such issues.
  • Psychosocial Support:
    • Importance: Ongoing psychosocial support is crucial for patients to navigate the emotional aspects of recovery and adjustment to the changes.

Phalloplasty is a significant step in the gender-affirming process, and individuals considering the procedure should consult with experienced healthcare professionals to make informed decisions based on their goals and unique medical circumstances.

Genital Reconstruction

Genital reconstruction, also known as gender-affirming genital surgery, is a set of surgical interventions designed to align an individual’s physical anatomy with their gender identity. This process is particularly significant for transgender individuals seeking a more congruent body. Key aspects of genital reconstruction include:

  1. Phalloplasty:
    • Purpose: Creates a neophallus (new penis) using tissue grafts.
    • Options: Radial forearm free flap (RFFF) and anterolateral thigh flap (ALT) are common graft sites.
    • Additional Procedures: May include urethral lengthening, scrotoplasty, and the option for penile implants.
  1. Metoidioplasty:
    • Purpose: Enlarges the clitoris (created through testosterone use) to form a neophallus.
    • Urethral Lengthening: Can be performed to enable standing urination.
    • Scrotoplasty: Creates a scrotum for a more masculine appearance.
  1. Vaginoplasty:
    • Purpose: Constructs a neovagina to align with a transgender woman’s gender identity.
    • Techniques: Penile inversion and non-penile inversion methods are common approaches.
    • Dilation: Postoperatively, regular dilation is often required to maintain depth and width.
  1. Labiaplasty:
    • Purpose: Shapes the labia minora to enhance the aesthetic outcome of vaginoplasty.
    • Customization: Can be tailored to meet the individual’s preferences for appearance.
  1. Orchiectomy:
    • Procedure: Removal of the testicles.
    • Purpose: Halts testosterone production and eliminates the need for anti-androgen medications.
  1. Clitoroplasty:
    • Technique: Often performed as part of vaginoplasty, enhances the prominence and sensitivity of the clitoris.
  1. Scrotoplasty:
    • Procedure: Constructs a scrotum for individuals undergoing vaginoplasty or metoidioplasty.
    • Testicular Implants: Optional for those seeking a more natural appearance.
  1. Urethral Lengthening:
    • Procedure: Extends the urethra to enable standing urination.
    • Relevance: Commonly associated with phalloplasty and metoidioplasty.
  1. Postoperative Care:
    • Recovery: Involves a period of postoperative care, including monitoring for complications, managing pain, and adherence to specific instructions provided by the surgical team.
    • Follow-Up Appointments: Regular follow-up appointments with the surgical team are essential for monitoring healing and addressing any concerns.
  1. Psychosocial Support:
    • Importance: Genital reconstruction is a significant emotional and physical journey. Ongoing psychosocial support, including therapy and peer groups, can assist individuals in coping with the challenges and celebrating milestones.

Genital reconstruction is a deeply personal decision, and individuals considering these procedures should consult with experienced healthcare professionals specializing in gender-affirming surgeries. A supportive and informed approach is crucial to achieving positive outcomes and ensuring the overall well-being of the individual undergoing genital reconstruction.

 

Gender-Affirming Surgery

Gender-affirming surgery, also known as gender-confirming or gender reassignment surgery, refers to a set of medical procedures that help align an individual’s physical characteristics with their gender identity. These surgeries are an integral part of the gender transition process for many transgender and gender-diverse individuals. Here are key details about gender-affirming surgery:

  1. Chest Surgery (Top Surgery):
    • For Trans Men (FTM): Involves mastectomy to remove breast tissue, creating a more masculine chest contour.
    • For Trans Women (MTF): Breast augmentation with implants to achieve a more feminine chest appearance.
  2. Hormone Therapy:
    • Purpose: Administering hormones to induce secondary sex characteristics consistent with the affirmed gender.
    • For Trans Women (MTF):Estrogen and anti-androgens are common.
    • For Trans Men (FTM): Testosterone is typically administered.
  3. Genital Reconstruction (Bottom Surgery):
    • For Trans Women (MTF): Vaginoplasty involves creating a neovagina using penile and scrotal tissue or other grafts.
    • For Trans Men (FTM): Phalloplasty constructs a neophallus using tissue grafts, and metoidioplasty enlarges the clitoris.
  4. Facial Feminization/Masculinization Surgery (FFS/FMS):
    • Purpose: Modifying facial features to enhance gender presentation.
    • Procedures: Rhinoplasty, jaw contouring, forehead reconstruction, and other procedures are tailored to the individual’s goals.
  5. Tracheal Shave (Chondrolaryngoplasty):
    • For Trans Women (MTF): Reduces the prominence of the Adam’s apple to achieve a more feminine neck contour.
  6. Voice Feminization/Masculinization:
    • Speech Therapy: Techniques to modify pitch, resonance, and intonation for a more gender-affirming voice.
    • Surgical Options: Voice surgery (e.g., feminizing laryngoplasty) is available for those seeking additional modifications.
  7. Orchiectomy:
    • Procedure: Removal of the testicles.
    • Purpose: Halts testosterone production and eliminates the need for anti-androgen medications.
  8. Labiaplasty and Scrotoplasty:
    • For Trans Women (MTF): Labiaplasty shapes the labia minora, and scrotoplasty constructs a scrotum for a more feminine appearance.
  9. Urethral Lengthening:
    • For Trans Men (FTM): Part of phalloplasty or metoidioplasty to enable standing urination.
  • Postoperative Care and Recovery:
    • Follow-Up Appointments: Regular check-ups with surgical teams to monitor healing and address any concerns.
    • Physical and Emotional Recovery: Emphasizing the importance of proper care and emotional support during the recovery process.
  • Legal and Social Transition:
    • Documentation Changes: Assistance with legal processes for name and gender marker changes on identification documents.
    • Social Support: Navigating social transitions and disclosure to friends, family, and colleagues.

Gender-affirming surgery is a deeply personal choice, and individuals considering these procedures should collaborate with healthcare professionals who specialize in transgender healthcare. Comprehensive preoperative assessments, informed consent, and ongoing psychosocial support contribute to a positive and affirming experience throughout the gender-affirming surgery journey.

Abdominal Flap Phalloplasty

Abdominal flap phalloplasty is a type of gender-affirming surgery designed to create a neophallus (new penis) for transgender men or individuals assigned female at birth (AFAB) seeking masculinization. Here are key details about abdominal flap phalloplasty:

  1. Flap Harvesting:
    • Donor Site: The abdominal flap is harvested from the lower abdominal region, including skin, fat, blood vessels, and potentially muscle.
    • Alternative Flaps: While the radial forearm free flap (RFFF) and anterolateral thigh flap (ALT) are other common options, the abdominal flap may be preferred in cases where forearm or thigh flaps are not suitable.
  1. Preoperative Planning:
    • Patient Consultation: Comprehensive consultations with the surgical team involve discussing the patient’s goals, anatomy, and preferences.
    • Flap Dimensions: The surgical team plans the dimensions of the neophallus, considering length, girth, and overall aesthetics.
  1. Urethral Lengthening:
    • Procedure: Involves extending the urethra to enable standing urination.
    • Timing: Urethral lengthening may be performed during the initial phalloplasty or in a subsequent stage.
  1. Microsurgical Anastomosis:
    • Reconnection: The harvested flap’s blood vessels are meticulously connected to blood vessels in the genital area using microsurgery to ensure proper blood supply to the neophallus.
  1. Nerve Connection:
    • Sensory Reinnervation: Nerves from the flap are connected to nerves in the recipient site, aiming to restore tactile sensation to the neophallus.
  1. Scrotoplasty:
    • Creation of Scrotum: A scrotum is formed to enhance the aesthetic appearance. Testicular implants may be inserted for a more natural look.
  1. Penile Implant (Optional):
    • Subsequent Stage: Some individuals opt for penile implants in a separate stage after the initial phalloplasty to enable erectile function.
  1. Postoperative Care:
    • Hospital Stay: Patients typically remain in the hospital for an initial recovery period.
    • Follow-Up Visits: Regular follow-up appointments with the surgical team are essential to monitor healing and address any concerns.
  1. Recovery and Rehabilitation:
    • Activity Restrictions: Patients are advised on postoperative care, including restrictions on activities, wound care, and hygiene practices.
  1. Complications and Revision Surgery:
    • Possible Issues: Complications may include issues with blood supply, urethral complications, or concerns related to sensation. Revision surgeries may be performed to address such issues.
  1. Psychosocial Support:
    • Importance: Ongoing psychosocial support is crucial for patients to navigate the emotional aspects of recovery and adjustment to the changes.

Abdominal flap phalloplasty is a complex and personalized surgical procedure that requires careful consideration of the patient’s goals, anatomy, and overall health. As with any gender-affirming surgery, individuals considering abdominal flap phalloplasty should consult with experienced healthcare professionals to make informed decisions aligned with their gender identity and well-being.

 

FTM Bottom Surgery

FTM (Female-to-Male) bottom surgery, also known as phalloplasty or genital reconstruction surgery, is a set of procedures designed to create male genitalia for transgender men or individuals assigned female at birth (AFAB) seeking masculinization. Here are key details about FTM bottom surgery:

  1. Phalloplasty:
    • Purpose: Constructs a neophallus (new penis) using tissue grafts.
    • Graft Options: Common graft sites include the radial forearm free flap (RFFF), anterolateral thigh flap (ALT), and abdominal flap.
    • Urethral Lengthening: Connects the neophallus to the native urethra to enable standing urination.
  1. Metoidioplasty:
    • Purpose: Enlarges the clitoris, created through testosterone use, to form a neophallus.
    • Urethral Lengthening: Can be performed to enable standing urination.
    • Scrotoplasty: Creates a scrotum for a more masculine appearance.
  1. Urethral Lengthening:
    • Procedure: Extends the urethra to enable standing urination.
    • Options: May be performed concurrently with phalloplasty or metoidioplasty.
  1. Scrotoplasty:
    • Procedure: Constructs a scrotum to enhance the overall aesthetic appearance.
    • Testicular Implants: Optional for those seeking a more natural look.
  1. Penile Implant (Optional):
    • Procedure: Involves inserting a penile implant to enable erectile function.
    • Timing: Can be performed as a separate stage after the initial bottom surgery.
  1. Postoperative Care:
    • Recovery: Involves a period of postoperative care, including monitoring for complications, managing pain, and adherence to specific instructions provided by the surgical team.
    • Follow-Up Appointments: Regular follow-up visits are scheduled to monitor healing and address any concerns.
  1. Complications and Revision Surgery:
    • Possible Issues: Complications may include issues with blood supply, urethral complications, or concerns related to sensation. Revision surgeries may be performed to address such issues.
  1. Psychosocial Support:
    • Importance: Ongoing psychosocial support is crucial for patients to navigate the emotional aspects of recovery and adjustment to the changes.

FTM bottom surgery is a highly individualized process, and individuals should consult with experienced healthcare professionals specializing in transgender healthcare. Comprehensive preoperative assessments, informed consent, and ongoing psychosocial support contribute to a positive and affirming experience throughout the FTM bottom surgery journey.

 

Masculinizing Surgery

Masculinizing surgery, also known as gender-affirming surgery for transmasculine individuals, involves a set of procedures aimed at creating physical features that align with an individual’s male gender identity. Here are key details about masculinizing surgeries:

  1. Chest Surgery (Top Surgery):
    • Purpose: Removes breast tissue to create a more masculine chest contour.
    • Types: Double incision, periareolar, or keyhole procedures are common, depending on chest size and skin elasticity.
    • Nipple Grafting: Repositions and resizes the nipples for a natural appearance.
  1. Hormone Therapy:
    • Purpose: Administers testosterone to induce secondary sex characteristics.
    • Effects: Deepening of the voice, increased facial and body hair growth, muscle development, and changes in fat distribution.
  1. Metoidioplasty:
    • Purpose: Enlarges the clitoris, achieved through testosterone use, to form a neophallus.
    • Urethral Lengthening: Can be performed to enable standing urination.
    • Scrotoplasty: Creates a scrotum for a more masculine appearance.
  1. Phalloplasty:
    • Purpose: Constructs a neophallus using tissue grafts, such as the radial forearm free flap (RFFF), anterolateral thigh flap (ALT), or abdominal flap.
    • Urethral Lengthening: Connects the neophallus to the native urethra to enable standing urination.
    • Scrotoplasty: Constructs a scrotum.
  1. Urethral Lengthening:
    • Procedure: Extends the urethra to enable standing urination.
    • Timing: May be performed concurrently with phalloplasty or metoidioplasty.
  1. Scrotoplasty:
    • Procedure: Constructs a scrotum for a more masculine appearance.
    • Testicular Implants: Optional for those seeking a more natural look.
  1. Facial Masculinization Surgery (FMS):
    • Purpose: Modifies facial features to enhance a more masculine appearance.
    • Procedures: Rhinoplasty, jaw contouring, and forehead reconstruction are tailored to individual goals.
  1. Voice Masculinization:
    • Speech Therapy: Techniques to lower pitch and adjust resonance for a more masculine voice.
    • Surgical Options: Vocal cord surgery may be considered for additional modifications.
  1. Legal and Social Transition:
    • Documentation Changes: Assistance with legal processes for name and gender marker changes on identification documents.
    • Social Support: Navigating social transitions and disclosure to friends, family, and colleagues.
  1. Postoperative Care and Recovery:
    • Recovery: Involves a period of postoperative care, including monitoring for complications, managing pain, and adherence to specific instructions provided by the surgical team.
    • Follow-Up Appointments: Regular check-ups with the surgical team are essential to monitor healing and address any concerns.

Masculinizing surgery is a deeply personal decision, and individuals considering these procedures should collaborate with healthcare professionals who specialize in transgender healthcare. Comprehensive preoperative assessments, informed consent, and ongoing psychosocial support contribute to a positive and affirming experience throughout the masculinizing surgery journey.

 

Transgender Phalloplasty

 

Transgender phalloplasty, often referred to as phalloplasty or genital reconstruction surgery for transgender men, is a complex surgical procedure aimed at creating a neophallus (new penis). This procedure is a key component of gender-affirming surgery for individuals assigned female at birth (AFAB) who identify as male. Here are key details about transgender phalloplasty:

  1. Surgical Techniques:
    • Radial Forearm Free Flap (RFFF): Utilizes skin, blood vessels, and, if necessary, muscle from the forearm.
    • Anterolateral Thigh Flap (ALT): Uses skin, blood vessels, and muscle from the thigh.
    • Abdominal Flap: Harvests tissue from the lower abdominal region.
  2. Urethral Lengthening:
    • Procedure: Connects the neophallus to the native urethra to enable standing urination.
    • Options: Can be done simultaneously with phalloplasty or as a separate stage.
  3. Scrotoplasty:
    • Purpose: Constructs a scrotum for a more masculine appearance.
    • Testicular Implants: Optional for those seeking a natural look and feel.
  4. Penile Implant (Optional):
    • Procedure: Involves inserting a penile implant to enable erectile function.
    • Timing: Can be performed as a separate stage after the initial phalloplasty.
  5. Microsurgical Anastomosis:
    • Blood Supply: The vascular system of the neophallus is connected to blood vessels in the genital area using microsurgery to ensure adequate blood flow.
  6. Nerve Connection:
    • Sensory Reinnervation: Nerves from the flap are connected to nerves in the recipient site to restore tactile sensation to the neophallus.
  7. Postoperative Care:
    • Recovery: Involves a hospital stay initially, followed by a period of postoperative care.
    • Follow-Up Appointments: Regular check-ups with the surgical team are crucial for monitoring healing and addressing any concerns.
  8. Complications and Revision Surgery:
    • Possible Issues: Complications may include issues with blood supply, urethral complications, or concerns related to sensation. Revision surgeries may be performed to address such issues.
  9. Psychosocial Support:
    • Importance: Ongoing psychosocial support is crucial for patients to navigate the emotional aspects of recovery and adjustment to the changes.
  • Phalloplasty Stages:
    • Multiple Surgeries: Phalloplasty is often performed in multiple stages due to the complexity of the procedure and the need for healing between stages.

Transgender phalloplasty is a significant and deeply personal decision, and individuals considering this procedure should collaborate closely with experienced healthcare professionals who specialize in transgender healthcare. Comprehensive preoperative assessments, informed consent, and ongoing psychosocial support contribute to a positive and affirming experience throughout the phalloplasty journey.