Female to male bottom surgery, also known as FTM bottom surgery, is a type of gender confirmation surgery that can help transgender men achieve a more masculine appearance. There are two main types of FTM bottom surgery: metoidioplasty and phalloplasty.
⦁ Metoidioplasty is a procedure that uses the existing clitoral tissue to create a penis. The clitoris is enlarged with testosterone therapy, and then a surgeon may release it from the surrounding tissue and reposition it to create a phallus. A surgeon may also create a urethra so that the person can urinate standing up.
⦁ Phalloplasty is a more complex procedure that uses tissue from another part of the body, such as the forearm or thigh, to create a penis. The penis is then attached to the groin and a urethra is created. Phalloplasty can also include the creation of a scrotum and the insertion of testicular implants.

Both metoidioplasty and phalloplasty are major surgeries with a long recovery time. There are risks associated with both procedures, including infection, bleeding, and complications with the urethra.
The decision of which type of FTM bottom surgery to have is a personal one. Some factors to consider include your individual goals, your lifestyle, and your budget. It is important to talk to a qualified surgeon about your options and to weigh the risks and benefits of each procedure.

Here are some resources that you may find helpful:
⦁ The World Professional Association for Transgender Health: https://www.wpath.org/
⦁ The National Center for Transgender Equality: https://transequality.org/
⦁ The Trans Lifeline: https://www.translifeline.org/

Female-to-male (FTM) bottom surgery, also known as phalloplasty or metoidioplasty, is a surgical procedure performed to create male genitalia for transgender individuals assigned female at birth.

Here are some general aspects of FTM bottom surgery:
⦁ Phalloplasty: Phalloplasty involves constructing a neophallus (new penis) using tissue grafts, typically from the forearm, thigh, or abdominal region. The procedure aims to create a penis-like structure that can have erectile capabilities.
⦁ Metoidioplasty: Metoidioplasty is a procedure that involves releasing and enhancing the clitoral tissue to create a phallus. This technique takes advantage of the hormonal changes induced by testosterone therapy to increase the size and functionality of the clitoral tissue.
⦁ Urethral Lengthening: Urethral lengthening is often performed alongside phalloplasty or metoidioplasty. It involves extending the urethra to the tip of the neophallus, allowing for standing urination.
⦁ Vaginectomy and Scrotoplasty: During FTM bottom surgery, the surgeon may perform a vaginectomy to remove the vaginal tissue and create a scrotum. The scrotum can house testicular implants to provide a more masculine appearance.
⦁ Sensation and Function: Sensation and functional outcomes of FTM bottom surgery can vary among individuals. Some individuals report improved sensation and the ability to experience orgasm, while others may have more limited sensation. Erectile devices or implants may be used to facilitate sexual function.
⦁ Healing and Recovery: Recovery from FTM bottom surgery involves a healing period during which the body recovers from the surgical procedure. Post-operative care includes wound care, pain management, and regular follow-up appointments with the surgeon.

It’s important to note that FTM bottom surgery is a complex and individualized process. The specific procedures, techniques, and outcomes may vary depending on the surgeon, the patient’s preferences, and individual circumstances.

If you are considering FTM bottom surgery, it’s crucial to consult with a qualified surgeon who specializes in transgender healthcare. They can assess your needs, discuss the available options, and provide personalized recommendations based on your specific goals and health considerations.

Having thorough discussions with healthcare professionals about your goals, expectations, and any concerns you may have regarding FTM bottom surgery is essential. They can guide you through the process, explain the potential risks and benefits, and help you make an informed decision.