Phalloplasty is a complex surgery that can affect your ability to undergo future gender-affirming procedures. The specific impact will depend on the type of phalloplasty you have and the specific procedures you are considering.

In general, phalloplasty can affect your ability to have other gender-affirming procedures in the following ways:

  • It can make it more difficult to have urethral lengthening or vaginectomy. These procedures are often done in conjunction with phalloplasty, but they can also be done separately. If you have phalloplasty first, it may be more difficult to have these procedures later because the urethra may be scarred or damaged.
  • It can make it more difficult to have penile implants. Penile implants are devices that can be inserted into the penis to allow for erections. If you have phalloplasty, you may not be able to have penile implants because the penis may not be large enough or there may not be enough tissue to support the implants.
  • It can make it more difficult to have fertility preservation. If you are considering phalloplasty, it is important to discuss fertility preservation with your doctor. There are a number of ways to preserve fertility, but some of these methods may not be possible after phalloplasty.

It is important to talk to your doctor about the specific impact of phalloplasty on your ability to undergo future gender-affirming procedures. Your doctor will be able to assess your individual circumstances and help you make the best decision for yourself.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH) website:
  • The American Society of Plastic Surgeons (ASPS) website:
  • The Trevor Project:

Phalloplasty surgery can potentially affect your eligibility for future gender-affirming procedures, as it involves the creation of a neophallus using donor tissue or tissue grafts from other areas of the body. The specific impact on your eligibility for other procedures will depend on various factors, including the surgical technique used, the availability of donor tissue, and the desired outcome of the subsequent procedures.

Some individuals who undergo phalloplasty may also choose to pursue additional gender-affirming surgeries, such as urethroplasty (creation of a functional urethra), scrotoplasty (creation of a scrotum), or penile implant surgery. In these cases, the availability of donor tissue and the potential impact on the surgical site may need to be considered.

It is important to have a comprehensive discussion with your healthcare provider or surgeon about your specific goals and aspirations for future gender-affirming procedures. They can provide personalized guidance based on your individual circumstances and help you understand the potential implications of phalloplasty on your eligibility for future procedures.

Each person’s situation is unique, and the decision to undergo phalloplasty and subsequent gender-affirming procedures should be based on your individual goals, health considerations, and the recommendations of your healthcare provider.