Female-to-male (FTM) lower surgery, also known as phalloplasty or metoidioplasty, is a gender-affirming surgical procedure for transgender individuals seeking to align their physical characteristics with their male gender identity. It involves the creation of a neophallus (new penis) using various surgical techniques. It’s important to note that the specific procedures and techniques used may vary depending on the individual’s goals, anatomy, and the surgeon’s expertise.

There are different approaches to FTM lower surgery, including:

1. Metoidioplasty: This procedure is suitable for individuals who have undergone hormone therapy and experienced significant clitoral growth (clitoromegaly) due to testosterone. Metoidioplasty involves releasing the clitoral hood and ligaments, which allows the clitoris to extend and appear more like a small penis. It may also involve urethral lengthening to enable urination through the neophallus.
2. Phalloplasty: Phalloplasty is a more complex procedure that involves constructing a neophallus using various techniques, often utilizing grafts from other body parts. This can include forearm or thigh flap phalloplasty, where a section of skin, blood vessels, and sometimes nerves are taken from the donor site and used to create the neophallus. Phalloplasty may also involve urethral lengthening, scrotal reconstruction, and placement of penile implants for erectile functionality.

FTM lower surgery is a significant and complex procedure that requires careful consideration and consultation with experienced healthcare professionals who specialize in transgender healthcare. It is essential to thoroughly discuss the options, risks, benefits, and expectations with a qualified surgeon who has expertise in performing these surgeries. They can evaluate your individual circumstances and provide personalized guidance based on your goals and anatomy.

It’s also important to note that FTM lower surgery may have associated risks and potential complications, and the recovery process can take several months. Post-operative care and follow-up appointments with your surgical team are crucial for monitoring healing and addressing any concerns that may arise.

Each person’s journey is unique, and the decision to pursue FTM lower surgery is personal. It’s advisable to seek support from mental health professionals and connect with support groups or organizations that specialize in transgender healthcare to help navigate the decision-making process and provide emotional support throughout the transition journey.