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):

Bottom surgery for transmen, also known as female-to-male (FTM) gender confirmation surgery or phalloplasty, is a surgical procedure that involves constructing male genitalia. It aims to align a person’s physical characteristics with their gender identity. It’s important to note that there are different surgical techniques available, and the specific procedure chosen may vary based on individual preferences, anatomical considerations, and the expertise of the surgeon.

Here are the common types of bottom surgery options for transmen:

  1. Metoidioplasty: Metoidioplasty is a procedure that involves releasing the ligaments that restrict the growth of the clitoris due to hormone therapy. This procedure allows the enlarged clitoris to resemble a small penis. Some individuals may choose to undergo additional procedures, such as urethral lengthening (to allow for standing to urinate) and scrotoplasty (to create a scrotum using labial tissue or implants).
  2. Phalloplasty: Phalloplasty is a more complex procedure that involves constructing a neophallus (penis) using tissue grafts from other parts of the body, such as the forearm, thigh, or abdomen. Phalloplasty can involve multiple stages, and additional procedures, such as urethral lengthening, creation of a glans (head of the penis), scrotoplasty, and erectile prostheses, can be considered to enhance the functionality and aesthetic appearance.

It is important to note that bottom surgery, including phalloplasty, is a major surgical procedure that requires extensive planning, preparation, and aftercare. It carries potential risks and complications, and the recovery process can be lengthy. It is crucial to consult with experienced healthcare professionals who specialize in transgender healthcare and have expertise in performing FTM bottom surgery. They can evaluate your specific needs, discuss the available options, provide realistic expectations, and guide you through the surgical process.

It’s important to consult with a knowledgeable healthcare professional who specializes in transgender healthcare to discuss the specific options available, the potential risks and benefits, and the expected outcomes of bottom surgery. They can guide you through the process, provide personalized recommendations, and answer any questions or concerns you may have.