The success rate of FTM bottom surgery (phalloplasty) varies depending on the surgeon and the type of surgery performed. In general, the success rate is high, with most people reporting satisfaction with the results. However, there are some risks associated with any surgery, and phalloplasty is no exception. Some of the potential complications of phalloplasty include:

  • Hematoma: This is a collection of blood under the skin that can occur after surgery. It is usually treated with drainage and compression.

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  • Infection: Infection is a risk with any surgery, but it is more common with phalloplasty than with other types of surgery. Infections can be treated with antibiotics, but they can also lead to more serious complications, such as sepsis.

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  • Nerve damage: Nerve damage can occur during surgery, and it can lead to numbness or weakness in the penis. In some cases, nerve damage can be permanent.

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Nerve damage

  • Urethral stricture: This is a narrowing of the urethra that can make it difficult to urinate. Urethral strictures can usually be treated with surgery, but they can also recur.

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Urethral stricture

The risk of complications from phalloplasty can be reduced by choosing a qualified surgeon and following the surgeon’s instructions carefully after surgery. It is also important to have realistic expectations about the results of surgery. Phalloplasty cannot create a penis that is identical to a cisgender man’s penis, but it can create a penis that is functional and aesthetically pleasing.

Here are some resources that you may find helpful:

  • World Professional Association for Transgender Health (WPATH) Standards of Care:
  • The Trevor Project:
  • Trans Lifeline:
  • The success rate of female-to-male (FTM) bottom surgery, also known as phalloplasty or metoidioplasty, can vary depending on various factors, including the surgical technique used, the surgeon’s expertise, the individual’s overall health, and their specific goals and expectations.
  • It’s important to note that gender-affirming surgeries are complex procedures, and individual experiences and outcomes can vary. Success can be measured in different ways, including functional outcomes, aesthetic results, satisfaction with the surgical outcome, and improvement in quality of life. While most individuals who undergo FTM bottom surgery report positive outcomes, it is essential to have realistic expectations and understand the potential risks and limitations associated with the procedure.
  • Complications and risks associated with FTM bottom surgery can include infection, bleeding, hematoma, scarring, nerve damage, loss of sensation, urethral complications, urinary issues, erectile function concerns, and the need for additional revisions or corrective surgeries.
  • To achieve the best possible outcome and reduce the risk of complications, it is crucial to choose a skilled and experienced surgeon who specializes in transgender surgeries. Researching and consulting with multiple surgeons, reviewing their credentials and patient testimonials, and discussing your specific goals and concerns with them can help you make an informed decision.
  • Additionally, it is advisable to have realistic expectations and to understand that FTM bottom surgery is a complex and multi-stage process. It often requires a comprehensive pre-operative evaluation, extensive post-operative care, and a commitment to follow-up visits and potential revisions.
  • Before undergoing FTM bottom surgery, it is important to consult with a qualified surgeon who can assess your individual circumstances, explain the specific techniques, risks, and expected outcomes, and help you make an informed decision based on your unique needs and goals.