Female-to-male (FTM) surgery, also known as gender confirmation surgery or gender reassignment surgery, involves several procedures to help align an individual’s body with their male gender identity. The specific surgeries chosen can vary depending on the individual’s goals, preferences, and medical considerations. Here are some common surgical options for FTM transition:

  1. Chest Reconstruction (Top Surgery):
    • Double Incision Mastectomy: This procedure involves removing breast tissue, excess skin, and repositioning the nipples to create a more masculine chest contour.
    • Keyhole or Periareolar Mastectomy: Suitable for individuals with smaller breasts, this procedure involves removing breast tissue through a small incision around the areola while preserving the nipple.
  2. Genital Reconstruction (Bottom Surgery):
    • Metoidioplasty: This procedure is suitable for individuals who have undergone testosterone therapy and experienced significant clitoral growth. It involves releasing the ligament that restricts the clitoral growth, which allows the clitoris to be released and repositioned to resemble a small phallus.
    • Phalloplasty: This procedure involves constructing a neophallus using donor tissue, typically from the forearm, thigh, or abdominal region. The neophallus is then connected to the existing genitalia to create a more masculine appearance. Additional procedures may be required to create a urethra for urination and to implant erectile prostheses for sexual function.
    • Scrotoplasty: This procedure involves creating a scrotum by reshaping the labia majora to resemble a scrotal sac. Testicular implants can be placed within the scrotum to create a more masculine appearance.

It’s important to note that FTM surgeries are complex and individual experiences may vary. The specific procedures chosen depend on factors such as the individual’s desired outcome, overall health, anatomy, and available surgical options. It’s recommended to consult with experienced healthcare professionals who specialize in transgender healthcare to discuss the available options, potential risks and benefits, and expected outcomes based on individual needs and goals. They can provide personalized guidance and help manage expectations regarding FTM surgery.