There are three main types of MTF bottom surgery:
⦁ Penile inversion vaginoplasty: This is the most common type of MTF bottom surgery. In this procedure, the penis and scrotum are removed, and the penile skin is inverted to create a vagina. The urethra is also rerouted to the new vagina.
⦁ Rectosigmoid colon graft vaginoplasty: This procedure is less common than penile inversion vaginoplasty. In this procedure, a section of the rectum and colon is used to create a vagina. This procedure can provide a deeper vagina than penile inversion vaginoplasty, but it is also more complex and has a longer recovery time.
⦁ Non-penile inversion vaginoplasty: This is a newer type of MTF bottom surgery that does not use penile skin to create the vagina. Instead, the vagina is created using tissue from the labia, urethra, or other areas of the body. This procedure is less common than penile inversion vaginoplasty or rectosigmoid colon graft vaginoplasty, but it is becoming more popular as surgeons gain more experience with it.

All of these procedures can result in a vagina that looks and feels natural. However, there are some potential risks associated with all of these procedures, including bleeding, infection, and complications related to anesthesia.
The best type of MTF bottom surgery for a particular person will depend on their individual needs and preferences. It is important to talk to a healthcare provider who is experienced in treating transgender people to discuss the different options and make the best decision for you.

Here are some additional resources that you may find helpful:
⦁ The Trevor Project: The Trevor Project is a national organization that provides crisis intervention and suicide prevention services to LGBTQ youth.
⦁ GLAAD: GLAAD is a national organization that works to promote acceptance and understanding of LGBTQ people.
⦁ Trans Lifeline: Trans Lifeline is a national organization that provides crisis intervention and suicide prevention services to transgender people.
⦁ PFLAG: PFLAG is a national organization that provides support and resources to LGBTQ people and their families.

Male-to-female (MTF) bottom surgery, also known as gender confirmation surgery or genital reconstruction surgery, is a set of surgical procedures aimed at creating female genitalia for individuals assigned male at birth who identify as female. The specific procedure chosen can depend on individual factors such as anatomical considerations, surgeon recommendations, and personal preferences.

Here are some common types of MTF bottom surgery:
⦁ Vaginoplasty: Vaginoplasty is the most common surgical procedure for MTF individuals. It involves the creation of a neovagina, which closely resembles the appearance and function of a cisgender woman’s vagina. Techniques for vaginoplasty can vary but generally involve using penile and scrotal tissue to form the neovaginal canal and constructing a clitoral hood and labia.
⦁ Penile Inversion Technique: The penile inversion technique is a commonly used approach for vaginoplasty. In this technique, the penile skin is inverted to create the lining of the neovagina, while the scrotal skin is used to create the labia majora. The glans penis is typically used to form the clitoral hood, and the urethra is repositioned to allow for urination.
⦁ Colon Vaginoplasty: In cases where there may be insufficient penile and scrotal tissue for vaginoplasty, colon vaginoplasty may be an alternative. This procedure uses a section of the colon to create the neovaginal canal. The colon is surgically modified and repurposed to form the lining of the vagina.
⦁ Combined Procedures: Some individuals may opt for additional procedures to enhance the aesthetics and functionality of the neovagina. These may include labiaplasty to refine the appearance of the labia minora, clitoroplasty to create a clitoris, or further refinements to the external genitalia.

It’s important to note that MTF bottom surgery is a complex and highly specialized procedure that should be performed by experienced surgeons with expertise in transgender healthcare. The specific surgical plan should be determined in consultation with the surgeon, taking into consideration individual factors and goals. Each person’s needs and preferences may differ, and a comprehensive evaluation and discussion with a surgeon specializing in transgender healthcare is crucial to determine the most appropriate surgical plan.