Phalloplasty is a surgical procedure that is performed to construct a penis in transgender men. It is a complex and lengthy procedure, and it can be expensive. There are several different types of phalloplasty, each with its own advantages and disadvantages.

The most common type of phalloplasty is radial forearm free flap phalloplasty. In this procedure, a surgeon takes a large section of skin and tissue from the forearm and uses it to construct the penis. The surgeon then connects the blood vessels and nerves from the forearm to the penis, so that the penis can be vascularized and sensate.

Another type of phalloplasty is anterolateral thigh free flap phalloplasty. In this procedure, a surgeon takes a large section of skin and tissue from the thigh and uses it to construct the penis. The surgeon then connects the blood vessels and nerves from the thigh to the penis, so that the penis can be vascularized and sensate.

There are also other types of phalloplasty, such as latissimus dorsi flap phalloplasty and scrotal flap phalloplasty. These procedures are less common than radial forearm free flap phalloplasty and anterolateral thigh free flap phalloplasty.

Phalloplasty is different from other procedures in FtM surgery in several ways. First, it is a more complex and lengthy procedure. Second, it is more expensive. Third, it is not always successful. There is a risk of complications, such as infection, nerve damage, and loss of sensation.

However, phalloplasty can be a life-changing procedure for transgender men. It can help them to feel more comfortable in their bodies and to live more authentically.

Here are some of the other procedures that are typically performed as part of FtM surgery:

• Vaginectomy: This is the surgical removal of the vagina. It is typically performed in conjunction with phalloplasty.
• Urethroplasty: This is the surgical construction of a urethra. It is necessary to allow the person to urinate standing up.
• Scrotoplasty: This is the surgical creation of a scrotum. It is typically performed in conjunction with phalloplasty.
• Testicular implants: These are silicone implants that are inserted into the scrotum to give it a more natural appearance.

The specific procedures that are performed will vary depending on the individual’s anatomy and preferences. It is important to talk to a surgeon about your options to decide which procedures are best for you.

Phalloplasty is one of the surgical options available as part of female-to-male (FtM) gender-affirming surgery, but it is important to note that not all individuals pursuing FtM surgery choose to undergo phalloplasty. Here are some key differences between phalloplasty and other procedures commonly performed in FtM surgery:

1. Phalloplasty vs. Metoidioplasty: Phalloplasty involves the construction or reconstruction of a penis using tissue from a donor site, such as the forearm, thigh, or back. It allows for the creation of a larger and more externally visible phallus. Metoidioplasty, on the other hand, works with the existing clitoral tissue, which has naturally masculinized with hormone therapy. It involves releasing the ligament that restricts the clitoris’ growth, allowing it to extend and create a small phallus.
2. Phalloplasty vs. Chest Surgery: Phalloplasty focuses on creating or reconstructing the genital area, while chest surgery involves the removal of breast tissue to create a more masculine chest contour. Chest surgery for transgender men can be done through procedures like bilateral mastectomy or chest masculinization surgery, including nipple grafting or chest reconstruction with implants.
3. Phalloplasty vs. Hysterectomy/Oophorectomy: Phalloplasty is primarily concerned with creating a neophallus, while hysterectomy and oophorectomy involve the removal of the uterus and ovaries, respectively. Hysterectomy and oophorectomy are often performed in FtM surgery to eliminate the need for ongoing gynecological care and to align the body with the patient’s gender identity.
4. Phalloplasty vs. Facial Masculinization Surgery: Facial masculinization surgery aims to enhance masculine features in the face, such as the jawline, chin, nose, and brow ridge. This procedure is separate from phalloplasty and is focused on achieving a more masculine facial appearance.

It is important to recognize that each individual’s journey and goals for gender-affirming surgery are unique. The choice of procedures, including phalloplasty, is a personal one based on the individual’s needs, desires, and discussions with their healthcare provider. Understanding the differences between various surgical procedures is crucial for making informed decisions about which options align best with one’s goals and expectations. Consulting with a qualified healthcare provider who specializes in transgender healthcare is essential to explore the available options and develop an individualized treatment plan.