Female-to-male (FTM) gender confirmation surgery, also known as masculinizing or gender-affirming surgery, is a surgical procedure that involves altering the genital and/or chest area to align with a person’s male gender identity. There are several procedures that can be part of FTM gender confirmation surgery:

  1. Chest Reconstruction (Top Surgery): This procedure involves the removal of breast tissue and reshaping the chest to create a more masculine appearance. It may involve a mastectomy (removal of breast tissue), chest contouring, and nipple/areola resizing and repositioning.
  2. Metoidioplasty: This procedure is performed to enhance the appearance and functionality of the genital area. It involves releasing the ligaments that hold the clitoris in place, which allows it to extend and create a small phallus. Some individuals may also undergo urethral lengthening to allow for urination through the new phallus.
  3. Phalloplasty: This is a more complex procedure that involves creating a neophallus using tissue grafts from other parts of the body, such as the forearm, thigh, or abdomen. Phalloplasty can involve multiple stages, and additional procedures such as urethral lengthening, scrotal reconstruction, and erectile device implantation may be included.
  4. Hysterectomy and Oophorectomy: Some individuals may choose to undergo the removal of the uterus (hysterectomy) and ovaries (oophorectomy) as part of their transition. This procedure is not always necessary for all FTMs, but it can help alleviate gender dysphoria and reduce the need for ongoing hormonal management.

It’s important to note that FTM gender confirmation surgery is a complex and highly individualized process. The specific procedures and techniques used can vary depending on factors such as personal preferences, overall health, anatomy, and surgeon expertise.

If you are considering FTM gender confirmation surgery, it is essential to consult with qualified healthcare professionals who specialize in transgender healthcare. They can provide you with detailed information about the procedures, potential risks and complications, expected outcomes, and help you make informed decisions about your surgical options.