Individuals assigned female at birth may choose to undergo metoidioplasty as a gender-affirming surgical option to align their physical appearance with their gender identity as male or non-binary. Some reasons why someone might opt for metoidioplasty include:

  1. Gender dysphoria: Individuals may experience distress or discomfort due to the incongruence between their assigned sex at birth and their gender identity. Metoidioplasty can help alleviate this gender dysphoria by creating a neophallus that is more aligned with their self-perception.
  2. Desire for genital masculinization: Metoidioplasty allows for the enlargement and repositioning of the clitoral tissue, which has been hormonally enlarged through testosterone therapy. This can result in a phallus that is more representative of male genitalia and may provide increased satisfaction with one’s body image.
  3. Urinary function: Some individuals may desire metoidioplasty to achieve improved urinary function. Urethral lengthening can be performed as part of the procedure, allowing for standing urination.
  4. Personal and social reasons: For some individuals, undergoing metoidioplasty is a personal choice that aligns with their self-identity and allows them to live more authentically. It can also help with social integration, confidence, and improved intimacy in relationships.

It’s important to note that each person’s reasons for pursuing metoidioplasty can vary, and the decision to undergo any surgical procedure is highly personal. It is essential to have open and honest discussions with healthcare providers and qualified surgeons who specialize in transgender surgeries to explore options, understand potential outcomes, and make informed decisions based on individual needs and goals.