There are two main types of FTM bottom surgery: metoidioplasty and phalloplasty.

⦁ Metoidioplasty is a procedure that uses the enlarged clitoris to create a penis. The clitoris is released from its surrounding tissue and then lengthened. A urethral lengthening procedure is also performed to allow the person to urinate standing up.

⦁ Phalloplasty is a procedure that uses tissue from another part of the body, such as the arm or thigh, to create a penis. The urethra is also reconstructed during this procedure.
Both metoidioplasty and phalloplasty can be performed in one or two stages. In a two-stage procedure, the first stage involves creating the penis and urethra. The second stage, which is typically performed several months later, involves implanting testicular prostheses.

The type of bottom surgery that is right for you will depend on your individual needs and preferences. Some factors to consider include your anatomy, your lifestyle, and your budget.

Here is a table that summarizes the key differences between metoidioplasty and phalloplasty:
Feature                                            Metoidioplasty                  Phalloplasty
Length of recovery                           4-6 weeks                                6-12 weeks
Risk of complications                           Low                                      Moderate
Cost                                                         Lower                                   Higher
Ability to urinate standing up              Yes                                        Yes
Ability to have penetrative sex             Yes                                        Yes

If you are considering FTM bottom surgery, it is important to talk to your doctor about your options. They can help you to determine which type of surgery is right for you and can answer any questions you have about the procedure.

Here are some additional resources that you may find helpful:
⦁ The World Professional Association for Transgender Health (WPATH) Standards of Care:
⦁ The National Center for Transgender Equality (NCTE):
⦁ The Trans Lifeline:

Female-to-male (FTM) bottom surgery, also known as genital reconstruction surgery (GRS) or phalloplasty, is a procedure that involves creating male genitalia for transgender men. There are several types of FTM bottom surgery options available, including:

⦁ Metoidioplasty: Metoidioplasty is a surgical procedure that involves releasing and enhancing the clitoral tissue that has been hormonally enlarged through testosterone therapy. The surgeon may also perform a urethral lengthening (to enable urination through the neophallus) and scrotoplasty (creation of a scrotum). However, metoidioplasty typically does not create a fully erect phallus.
⦁ Radial Forearm Flap Phalloplasty: In this procedure, a phallus is constructed using a section of skin, nerves, blood vessels, and connective tissue from the forearm. The tissue is harvested from the radial side of the forearm, and a neophallus is created. Additional procedures, such as urethral lengthening, scrotoplasty, and implantation of erectile devices, can be performed in conjunction with radial forearm flap phalloplasty.
⦁ Anterolateral Thigh (ALT) Flap Phalloplasty: In ALT flap phalloplasty, a section of skin, fat, and blood vessels from the lateral part of the thigh is used to construct a neophallus. This procedure offers the advantage of potentially providing a larger phallus and is an alternative for individuals who may not have suitable forearm tissue for radial forearm flap phalloplasty. Like other phalloplasty procedures, additional surgeries can be performed to create a urethra and scrotum, and to implant erectile devices.
⦁ Abdominal Flap Phalloplasty: This procedure involves using skin and tissue from the lower abdomen to construct a neophallus. The tissue is often rotated or transposed to create the desired shape and size of the phallus. Abdominal flap phalloplasty can provide a larger phallus, but it is a more complex procedure compared to other options.

It’s important to note that the availability of these procedures, surgical techniques, and individual suitability may vary among surgeons and medical centers. It is crucial to consult with a qualified gender-affirming surgeon who specializes in FTM bottom surgery to determine the most appropriate procedure based on your specific goals, anatomy, and medical history. They can provide personalized information, discuss potential risks and complications, and guide you through the decision-making process.