There are a few reasons why someone assigned female at birth (AFAB) might undergo scrotoplasty.

  • Gender-affirming surgery: Scrotoplasty is often performed as part of gender-affirming surgery for transgender men. This type of surgery can help transgender men feel more comfortable in their bodies and affirm their gender identity.
  • Repair of a birth defect: Scrotoplasty can also be done to repair a birth defect or injury to the scrotum. For example, someone with a condition called hypospadias may need scrotoplasty to correct the placement of their urethra.
  • Cosmetic reasons: Some people may choose to undergo scrotoplasty for cosmetic reasons. For example, someone who is unhappy with the appearance of their labia majora may choose to have them reconstructed into a scrotum.

The decision to undergo scrotoplasty is a personal one. There are many factors to consider, such as your gender identity, your medical history, and your personal goals. If you are considering scrotoplasty, it is important to talk to a surgeon who is experienced in performing this type of surgery. They will be able to discuss the risks and benefits of scrotoplasty with you and help you decide if it is the right procedure for you.

Here are some additional resources that may be helpful:

  • The World Professional Association for Transgender Health:
  • The Trevor Project:
  • Trans Lifeline:

People assigned female at birth (AFAB) might undergo scrotoplasty as part of their gender-affirming journey for various reasons. Here are a few common motivations:

1. Gender Dysphoria: Some individuals assigned female at birth experience gender dysphoria related to their genitalia. They may have a strong desire for a more masculine appearance and seek scrotoplasty as part of their transition to align their physical body with their gender identity.

2. Improved Genital Aesthetics: Scrotoplasty can enhance the overall appearance of the genital area, providing a more natural and masculine aesthetic. This can help individuals feel more comfortable and affirm their gender identity.

3. Affirmation of Masculinity: For some individuals, having a scrotum can contribute to a sense of masculinity and alleviate feelings of gender dysphoria. It can provide a physical manifestation of their gender identity and help them feel more congruent with their internal sense of self.

4. Enhancing Sexual Function and Pleasure: Scrotoplasty can potentially improve sexual function and pleasure by creating a more sensitive and responsive genital area. It may increase erotic sensation and facilitate engagement during sexual activities.

5. Social Integration: Having a scrotum can also impact social integration and interaction, as it aligns with societal expectations and norms for male anatomy. For some individuals, scrotoplasty can help them navigate social situations more comfortably and authentically.

It’s important to note that the decision to undergo scrotoplasty is highly personal and varies for each individual. It is essential to have open and honest discussions with qualified healthcare providers and surgical teams specializing in transgender healthcare to ensure personalized guidance and support throughout the decision-making and surgical process.