Bottom surgery, also known as gender-affirming surgery or genital reconstruction surgery, is a surgical procedure that alters the genitals of a transgender person to match their gender identity. Bottom surgery can be performed on transgender men and transgender women.

For transgender men, bottom surgery may involve:
⦁ Orchiectomy: The removal of the testicles.
⦁ Phalloplasty: The construction of a penis. There are several techniques for phalloplasty, including using tissue from the arm, leg, or abdomen.
⦁ Scrotoplasty: The creation of a scrotum.

For transgender women, bottom surgery may involve:
⦁ Vaginoplasty: The construction of a vagina. There are several techniques for vaginoplasty, including using penile skin, tissue from the colon, or a combination of both.
⦁ Orchiectomy: The removal of the testicles.
⦁ Labiaplasty: The shaping of the labia.

Bottom surgery is a major surgery with a long recovery period. It is important to do your research and find a surgeon who is experienced in performing gender-affirming surgery.

The cost of bottom surgery varies depending on the procedure and the surgeon. It can range from $10,000 to $100,000 or more. Some insurance plans may cover all or part of the cost of bottom surgery.
Bottom surgery can be a life-changing surgery for transgender people. It can help them feel more comfortable in their own bodies and live more authentically. However, it is important to remember that bottom surgery is not necessary for everyone. Some transgender people may choose not to have bottom surgery, or they may choose to have it at a later date.

If you are considering bottom surgery, it is important to talk to your doctor or a therapist who specializes in transgender care. They can help you assess whether bottom surgery is right for you and answer any questions you may have.