There are two main types of MTF bottom surgery:                                                                                                        vaginoplasty and metoidioplasty.

Vaginoplasty is a procedure that creates a vagina from penile and scrotal tissue. The testicles are removed, and the skin along the shaft of the penis is inverted to create the vaginal canal. The urethra is shortened and repositioned, and the scrotal skin is used to create the labia majora.

Metoidioplasty is a procedure that enlarges the clitoris and creates a urethral opening. The clitoris is released from the surrounding tissue and repositioned to a more prominent position. The urethra is shortened and repositioned, and the scrotal skin is used to create the labia majora.

Both vaginoplasty and metoidioplasty are complex procedures, and they are typically performed under general anesthesia. The recovery time is typically several weeks, and there is a risk of complications, such as infection, bleeding, and scarring.

Here are some of the factors that will affect the type of bottom surgery that you are eligible for:
⦁ Your anatomy: The amount of penile and scrotal tissue that you have will affect the type of surgery that you are eligible for.
⦁ Your goals: Your goals for bottom surgery will also affect the type of surgery that you choose. If you want to be able to have penetrative sex, then vaginoplasty is the best option for you. If you are not interested in penetrative sex, then metoidioplasty may be a good option for you.
⦁ Your health: Your overall health will also affect the type of surgery that you are eligible for. If you have any health conditions, such as diabetes or heart disease, you will need to discuss these with your surgeon before surgery.
If you are considering MTF bottom surgery, it is important to talk to a qualified surgeon who can help you to determine the best type of surgery for you. They can also help you to understand the risks and benefits of the procedure and to prepare for surgery.

Here are some additional resources that you may find helpful:
⦁ The World Professional Association for Transgender Health:
⦁ The Trevor Project:
⦁ The Human Rights Campaign:
I hope this information is helpful. Please let me know if you have any other questions.

Male-to-female (MTF) bottom surgery, also known as vaginoplasty or gender confirmation surgery, is a complex surgical procedure that aims to create a neovagina, or a reconstructed vagina, to align an individual’s physical characteristics with their gender identity. The specific techniques and procedures used can vary based on individual preferences, surgeon expertise, and overall health. Here is a general overview of the surgical process:
⦁ Preoperative Preparation: Before surgery, individuals typically undergo a series of assessments, including psychological evaluations, medical examinations, and discussions with the surgical team to ensure they are prepared both physically and emotionally for the procedure.
⦁ Anesthesia: General anesthesia is administered to ensure the individual is unconscious and pain-free throughout the surgery.
⦁ Skin Grafts and/or Tissue Flaps: Several techniques can be used to create the neovagina. The most common methods involve using skin grafts or tissue flaps from the scrotum, penile skin, or other areas of the body. These tissues are reshaped and carefully positioned to create the vaginal canal.

⦁ Clitoroplasty and Labiaplasty: During the procedure, the surgeon will also perform clitoroplasty, which involves constructing a clitoris with sensitive tissue. Labiaplasty, the creation of labia, is also part of the process. The labia are typically created using the surrounding tissue and carefully shaped to achieve a natural appearance.
⦁ Urethral Lengthening: In some cases, the surgical team may also perform urethral lengthening, allowing the individual to urinate through the neovagina.
⦁ Suturing and Wound Closure: Once the necessary modifications are made, the surgeon will suture the tissues together to create the neovagina. Dissolvable sutures may be used, and the wound is carefully closed.
⦁ Postoperative Care and Recovery: After surgery, individuals will require a period of rest and recovery. This may involve hospitalization for a few days, and a follow-up care plan that includes pain management, wound care, and regular check-ups. Dilators are often provided to help maintain the size and shape of the neovagina during the healing process.

It is important to note that vaginoplasty is a complex surgical procedure with potential risks and complications. It should only be performed by qualified surgeons who specialize in transgender care and have experience in gender-affirming surgeries.

Individuals considering MTF bottom surgery should consult with a healthcare provider experienced in transgender care. They will assess the individual’s specific needs, discuss potential risks and benefits, and provide personalized guidance throughout the process.