There are two main types of bottom surgery for transgender people:

  • Vaginoplastyis a surgical procedure that creates a vagina in transgender women. The procedure can be performed using a variety of techniques, but the most common method involves using tissue from the patient’s own body, such as the colon or the skin from the inner thigh.
  • Phalloplastyis a surgical procedure that creates a penis in transgender men. The procedure can also be performed using a variety of techniques, but the most common method involves using tissue from the patient’s own body, such as the forearm or the thigh.

In addition to these two main types of bottom surgery, there are also a number of other procedures that can be performed, such as:

  • Hysterectomyis the surgical removal of the uterus. This procedure is often performed in conjunction with vaginoplasty in transgender women.
  • Oophorectomyis the surgical removal of the ovaries. This procedure may also be performed in conjunction with vaginoplasty in transgender women.
  • Testicular implantsare prosthetic testicles that can be inserted into the scrotum during phalloplasty in transgender men.

The specific type of bottom surgery that is right for a transgender person will depend on a number of factors, including their individual anatomy, their gender identity, and their personal preferences.

Here are some additional resources that you may find helpful:

  • World Professional Association for Transgender Health: https://www.wpath.org/
  • The Trevor Project: https://www.thetrevorproject.org/
  • GLAAD: https://www.glaad.org/

There are two main types of bottom surgery for transgender individuals: vaginoplasty (also known as male-to-female or MTF bottom surgery) and phalloplasty (also known as female-to-male or FTM bottom surgery). Here’s a brief overview of each:

  1. Vaginoplasty (MTF Bottom Surgery): Vaginoplasty is a surgical procedure that constructs a neovagina for individuals assigned male at birth who are transitioning to female. The procedure typically involves the removal of the testes and the reshaping of the genital tissue to create a vagina. The surgeon may use penile skin or tissue grafts from other parts of the body to form the vaginal canal and create a clitoral hood. Additional procedures, such as labiaplasty or clitoroplasty, may also be performed to enhance the appearance and functionality of the neovagina.
  2. Phalloplasty (FTM Bottom Surgery): Phalloplasty is a surgical procedure that constructs a neophallus (penis) for individuals assigned female at birth who are transitioning to male. The procedure involves the creation of a phallus using various techniques, such as grafting tissue from other parts of the body (such as the forearm, thigh, or back). The surgeon can also create a urethra to enable urination through the neophallus. Depending on the individual’s goals and preferences, additional procedures like scrotoplasty (creation of a scrotum) or erectile prostheses may be performed.

It’s important to note that both vaginoplasty and phalloplasty are complex surgeries with potential risks and complications. The specific techniques, outcomes, and recovery processes can vary depending on factors such as individual anatomy, surgeon expertise, and personal preferences. It’s recommended to consult with a qualified gender-affirming surgeon who can provide detailed information, evaluate your specific situation, and discuss the available options.