Trans male bottom surgery, also known as female-to-male (FTM) bottom surgery or phalloplasty, is a gender-affirming surgical procedure that involves constructing a neophallus (a new penis) for individuals assigned female at birth who identify as male. The specific details of the surgery can vary depending on the individual’s preferences, goals, and the surgical techniques employed by the surgeon. Here is a general overview of the different components of trans male bottom surgery:

1. Phalloplasty: Phalloplasty involves constructing a neophallus using various techniques. This can include grafting tissue from different parts of the body, such as the forearm, thigh, or abdomen, to create the phallus. The surgical procedure aims to create a phallus with the appearance, size, and functionality desired by the individual.
2. Urethroplasty: Urethroplasty involves creating a urethra within the neophallus to allow for urination through the phallus. This is typically done by connecting the newly constructed urethra to the existing urethra, allowing for a more natural urination process.
3. Scrotoplasty: Scrotoplasty is the creation of a scrotum, which can be done using tissue grafts or implants. The scrotum provides a more masculine appearance and can house testicular implants, if desired.
4. Testicular Implants: Some individuals may choose to have testicular implants placed within the scrotum to enhance the appearance and provide a more complete male genitalia.
5. Sensation and Erectile Function: Achieving sensation and erectile function can be more complex and may involve additional procedures or techniques. Options such as nerve hookup or nerve grafting may be considered to improve sensitivity in the neophallus, and erectile implants can be used to achieve erection.

It’s important to note that trans male bottom surgery is a complex and highly individualized procedure. The specific techniques, potential complications, recovery process, and outcomes can vary depending on the surgeon’s expertise, the individual’s anatomical considerations, and personal goals. It is recommended to consult with a qualified and experienced gender-affirming surgeon who can provide a detailed assessment and discuss the specific options and risks involved based on your unique circumstances.