The choice of bottom surgery (also known as genital reconstruction surgery or gender confirmation surgery) for transgender women (MTF) depends on various factors, including individual preferences, anatomical considerations, medical history, and the recommendations of qualified healthcare professionals. It’s important to consult with experienced surgeons specializing in transgender healthcare to discuss your specific situation and options.

Here are some common types of bottom surgery for MTF individuals:
⦁ Vaginoplasty: Vaginoplasty is a surgical procedure that involves creating a neovagina. Different techniques may be used, including penile inversion, where the penile skin is used to create the vaginal canal, and various methods for constructing the labia and clitoral hood. Vaginoplasty aims to provide a functional and aesthetically pleasing neovagina.
⦁ Zero Depth Vaginoplasty: Zero depth vaginoplasty is a surgical option for individuals who desire a more feminine appearance without the creation of a vaginal canal. This procedure focuses on the external genitalia, creating a vulva and labia while omitting the creation of a vaginal cavity.
⦁ Orchiectomy: An orchiectomy is the removal of the testes. It is a surgical option for transgender women who wish to eliminate the need for testosterone blockers and reduce testosterone production. Orchiectomy is often performed as a standalone procedure or as part of a larger bottom surgery.
⦁ Clitoroplasty: Clitoroplasty involves the creation or reshaping of the clitoral hood and clitoral glans to enhance sensitivity and provide a more natural appearance.

It’s important to note that bottom surgery is a complex and highly individualized procedure. The specific techniques and details of each surgery can vary depending on the surgeon’s expertise, the patient’s anatomy, and desired outcomes. Potential risks and complications associated with bottom surgery should be thoroughly discussed with the surgeon, and realistic expectations should be set.

Consulting with qualified healthcare professionals, including surgeons who specialize in transgender healthcare, is crucial when considering bottom surgery. They can provide a comprehensive evaluation, discuss the available options, explain the potential risks and benefits, and guide you through the decision-making process based on your unique needs and circumstances.