When discussing transgender men (those who were assigned female at birth and identify as male), the term “organ” can relate to several aspects of anatomy, particularly in the context of medical transition. Here’s an overview of the primary medical interventions related to anatomy for transgender men:

  1. Chest Surgery (Top Surgery):
    • Mastectomy: This is one of the most common surgeries for transgender men. It involves the removal of breast tissue and reshaping of the chest to give it a more traditionally masculine appearance.
  2. Gender Confirmation Surgery (Bottom Surgery):
    • Hysterectomy: Removal of the uterus.
    • Oophorectomy: Removal of the ovaries.
    • Vaginectomy: Removal of the vaginal canal.
    • Metoidioplasty: This procedure takes advantage of the clitoral growth caused by testosterone therapy (a common effect of hormone replacement therapy in transgender men). The clitoris is released from its ligamentous attachments to create a neophallus (new penis). While this provides a phallus that is capable of sexual sensation and sometimes unassisted erections, it is often smaller than a phallus constructed via phalloplasty and may not allow for standing urination without additional procedures.
    • Phalloplasty: This involves the creation of a neophallus using tissue grafts, usually taken from the arm, thigh, or back. This procedure can be more complex, often requiring multiple stages and additional procedures for urethral lengthening if the individual desires the ability to urinate while standing. Implants can be added in later surgeries to facilitate sexual intercourse.
  3. Hormone Replacement Therapy (HRT):
    • Transgender men often take testosterone, which can lead to various physical changes:
      • Genital: The clitoris may increase in size.
      • Reproductive system: Menstrual periods usually stop, and fertility can be affected.

Remember that not all transgender men will choose to, or can afford to, undergo these medical procedures. Further, undergoing these procedures doesn’t make someone “more” of a man than another who chooses not to or cannot access them. Gender identity is intrinsic and is not defined solely by physical characteristics.