Metoidioplasty is a type of gender affirmation surgery that is performed to create a penis from the existing genital tissue. It is a less-extensive procedure than phalloplasty, and it is typically performed on people who have been on testosterone therapy for at least one year.

Metoidioplasty involves a number of steps, including:

  • Clitoral release: The clitoris is freed from its surrounding tissue.
  • Urethral lengthening: The urethra is lengthened so that the person can urinate while standing.
  • Scrotoplasty: A scrotum is created from skin that is taken from the labia minora or the inner thigh.
  • Testicular implants: Testicular implants may be inserted into the scrotum.

The specific steps that are performed will vary depending on the individual’s anatomy and preferences. Metoidioplasty is typically performed under general anesthesia and takes about 2-3 hours.

The recovery period for metoidioplasty is typically 4-6 weeks. During this time, the incisions will need to be cared for and the person will need to wear a compression garment. There may be some pain and discomfort, but most people are able to return to work and other activities within a few weeks.

The results of metoidioplasty are generally very good. The person will have a penis that is about 2-4 inches long, and they will be able to urinate while standing. The scrotum will be created from skin that is taken from the labia minora or the inner thigh, and it will be able to hold testicular implants.

Metoidioplasty is a safe and effective procedure, but it is important to note that there are some risks associated with any surgery. These risks include infection, bleeding, and scarring.

If you are considering metoidioplasty, it is important to talk to a surgeon about your individual circumstances and expectations. The surgeon will be able to assess your eligibility for surgery and help you make the best decision for yourself.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH) Standards of Care:
  • The American Society of Plastic Surgeons (ASPS) website:
  • The Trevor Project:

Metoidioplasty is a gender-affirming surgical procedure performed on individuals assigned female at birth who identify as male or non-binary and wish to align their physical appearance with their gender identity. The specific techniques and procedures involved in metoidioplasty can vary depending on the individual’s goals and the surgeon’s approach. Here are some common elements that may be included in metoidioplasty:

  1. Clitoral release: The surgeon releases the clitoral tissue from the surrounding structures to allow for increased length and improved projection. The clitoris is typically hormonally enlarged through testosterone therapy before the surgery.
  2. Urethral lengthening: Urethral lengthening may be performed to allow for standing urination. The surgeon reroutes the urethra through the neophallus, enabling the individual to urinate from a standing position.
  3. Scrotoplasty: Scrotoplasty involves creating a scrotum using the labial tissue or other available tissue. This can provide a more masculine appearance and may also allow for the placement of testicular implants if desired.
  4. Vaginectomy: In some cases, a vaginectomy may be performed to remove the vaginal canal. This step is optional and depends on the individual’s preferences and goals.

It’s important to note that metoidioplasty does not typically involve extensive tissue grafting or implantation, which distinguishes it from other procedures such as phalloplasty. The size and appearance of the neophallus after metoidioplasty are determined by the individual’s pre-existing anatomy and hormonal changes.

It’s essential to consult with a qualified and experienced surgeon who specializes in transgender surgeries to discuss the specific procedures involved in metoidioplasty, as well as the potential risks, benefits, and expected outcomes based on your individual circumstances and goals.