Female-to-male (FTM) gender reassignment surgery, also known as masculinizing or female-to-male bottom surgery, is a surgical procedure that aims to create a male-appearing genitalia for individuals assigned female at birth but who identify and live as men.

There are different surgical options available for FTM gender reassignment surgery, including:

  1. Chest Reconstruction (Top Surgery): This procedure involves removing breast tissue and reshaping the chest to create a more masculine contour. It can involve either breast reduction or complete mastectomy, depending on the individual’s desired outcome and existing breast size.
  2. Hysterectomy: Some individuals choose to have a hysterectomy, which involves the removal of the uterus, as part of their gender reassignment process. This procedure can be performed laparoscopically or through other techniques.
  3. Genital Reconstruction (Phalloplasty or Metoidioplasty): Genital reconstruction surgery aims to create a male-appearing genitalia. Phalloplasty involves the creation of a neophallus (penis) using various techniques, such as using a skin graft or flap from other parts of the body. Metoidioplasty involves enhancing the existing clitoral tissue to create a small phallus. Testicular implants may also be inserted to create a more natural appearance.

It’s important to note that FTM gender reassignment surgery is a complex and individualized process. The specific surgical options chosen can vary based on factors such as individual goals, medical considerations, and the recommendations of healthcare professionals experienced in transgender healthcare.

Prior to undergoing any surgical procedures, it is essential for individuals to have thorough discussions with qualified healthcare providers, including surgeons specializing in gender-affirming surgeries. They can provide detailed information about the procedures, potential risks and complications, expected outcomes, and the necessary preparation and recovery process. Additionally, mental health support and counseling may be recommended as part of the overall transition process.