American Society of Plastic Surgeons
For Medical Professionals

Transfeminine Bottom Surgery

Feminizing Genital Surgery

The goal of transfeminine bottom surgery, or feminizing genital surgery, is to reconstruct the male genitalia into female genitalia.

What are the steps of transfeminine bottom surgery?

Medications are administered for your comfort during the surgical procedure. You will be completely asleep during the procedure.

The testicles are removed, and the skin along the shaft of the penis is removed from the penile tissue and preserved to create the new vagina. A small portion of the glans of the penis, along with the corresponding nerves and blood vessels, are dissected off the penile tissue and preserved to create the clitoris.

The remainder of the penile tissues are removed from the body. A space is subsequently created between the bladder and rectum. The skin of the penis that was preserved is inverted and placed into this space. A conformer is placed inside the new vagina to maintain the position of the skin. The urethra and preserved glans of the penis are placed in the female position. The scrotal skin is rearranged and used to create the labia majora.


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