There are two main types of bottom surgery for transgender men: phalloplasty and metoidioplasty.

  • Phalloplastyis a more complex surgery that involves creating a penis from tissue taken from another part of the body, such as the arm or thigh. It can be done in one or two stages, and the results can vary depending on the surgical technique used.
  • Metoidioplastyis a less complex surgery that involves enlarging the clitoris and repositioning it to create a penis-like structure. It can be done in one surgery, and the results are typically smaller than those of phalloplasty.

Both phalloplasty and metoidioplasty can involve additional procedures, such as creating a scrotum, lengthening the urethra, or inserting testicular implants.

The cost of bottom surgery for transgender men can vary depending on the type of surgery, the surgeon’s fees, and the location of the surgery. In general, phalloplasty is more expensive than metoidioplasty.

The recovery time for bottom surgery for transgender men can vary depending on the type of surgery and the individual’s overall health. In general, phalloplasty patients require a longer recovery time than metoidioplasty patients.

Bottom surgery for transgender men can be a life-changing experience. It can help transgender men feel more comfortable in their bodies and affirmed in their gender identity. However, it is important to remember that bottom surgery is not a necessary or required step in transition. Some transgender men choose not to have bottom surgery, and that is perfectly valid.

If you are considering bottom surgery, it is important to do your research and talk to a qualified surgeon. You should also be prepared to discuss your expectations with your surgeon and to make sure that you are emotionally ready for the surgery and the recovery process.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH):
  • The National Center for Transgender Equality (NCTE):
  • The Human Rights Campaign (HRC):

The process of female-to-male (FTM) gender confirmation surgery, also known as gender reassignment surgery or sex reassignment surgery, involves a series of surgical procedures to help align an individual’s physical characteristics with their gender identity. It’s important to note that each person’s journey is unique, and the specific surgical procedures chosen may vary based on individual preferences, anatomical considerations, and the expertise of the surgeon.

Here are some of the common surgical procedures involved in FTM gender confirmation surgery:

  1. Mastectomy (Top Surgery): Mastectomy is a surgical procedure to remove breast tissue and create a more masculine chest contour. This procedure can involve different techniques, including double incision, periareolar, or keyhole, depending on the amount of breast tissue and skin to be removed.
  2. Hysterectomy: A hysterectomy involves the removal of the uterus. Some individuals may also opt for oophorectomy, which is the removal of the ovaries. These procedures can help alleviate gender dysphoria and eliminate the need for menstruation-related care.
  3. Metoidioplasty or Phalloplasty: Metoidioplasty and phalloplasty are surgical procedures that involve creating a neophallus (penis). The specific technique chosen depends on individual preferences, anatomy, and desired outcomes. Metoidioplasty uses the existing clitoral tissue, which has been enlarged through testosterone therapy, to create a functional penis. Phalloplasty involves using grafts of tissue from other parts of the body to construct a neophallus.
  4. Scrotoplasty: Scrotoplasty is a procedure that creates a scrotum using tissue grafts. This can be performed in conjunction with metoidioplasty or phalloplasty to enhance the appearance of the genital area.
  5. Urethroplasty: Urethroplasty is a surgical procedure to extend the urethra, allowing for standing urination. This procedure can be performed as part of metoidioplasty or phalloplasty.

It’s important to remember that gender confirmation surgery is a major surgical procedure that requires extensive planning, preparation, and aftercare. The decision to undergo surgery should be made after thorough consultation with experienced healthcare professionals who specialize in transgender healthcare and have expertise in performing FTM gender confirmation surgeries.