Bottom surgery for transgender men, also known as female-to-male (FTM) or transmasculine bottom surgery, involves various procedures to create male genitalia. Here are some of the common surgical options:

  1. Metoidioplasty: This procedure is suitable for individuals who have undergone significant clitoral growth from testosterone use. It involves releasing the ligaments that restrict the growth of the clitoris and creating a more prominent phallus. The clitoral hood is typically preserved to create a natural-looking glans.
  2. Phalloplasty: Phalloplasty is a more complex procedure that involves constructing a phallus using various techniques. The phallus is usually created using a flap of skin from a donor site, such as the forearm, thigh, or abdomen. The procedure may involve multiple surgeries and can provide a larger, more aesthetic phallus. Erectile devices may be implanted to allow for sexual function.
  3. Scrotoplasty: Scrotoplasty involves creating a scrotum-like structure using tissue from the donor site or the labia majora. Silicone testicular implants may be inserted to provide a more natural appearance.
  4. Urethroplasty: Urethroplasty involves creating a urethral opening within the neophallus to allow for urination. This can be done during metoidioplasty or phalloplasty.
  5. Vaginectomy: Vaginectomy is the removal of the vaginal tissue to eliminate the vaginal canal. This procedure is typically performed before or during bottom surgery to create a male anatomy.

It’s important to note that bottom surgery is a complex and individualized process. Not all transgender men choose to undergo bottom surgery, as it is a personal decision based on factors such as individual goals, available resources, and personal circumstances. It’s crucial for individuals considering bottom surgery to consult with experienced surgeons who specialize in transgender healthcare. These surgeons can provide detailed information about the procedures, potential risks, benefits, and outcomes, and help individuals make informed decisions based on their specific needs and preferences.

Additionally, it’s recommended to seek mental health support throughout the process to ensure emotional well-being and to have a support network of healthcare professionals, friends, and family to assist with the recovery process.