American Society of Plastic Surgeons
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Transmasculine Bottom Surgery

Female-to-Male

The goal of transmasculine bottom surgery is to transform the female genitalia and reconstruct it into that of a male. Transmasculine bottom surgery is typically performed as a multiple stage procedure.

Transmasculine bottom surgery candidates

Transmasculine bottom surgery is a highly individualized procedure. You should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.

Transmasculine bottom surgery is a good option for you if:

  • You have been diagnosed with persistent gender dysphoria
  • You have been under the care of two mental health professionals who can each provide a letter of recommendation supporting your decision to undergo surgery
  • You have been living as a member of your desired sex
  • You are of the age to make consent
  • You have a positive outlook and realistic expectations
  • If significant medical or mental health concerns exist, they must be reasonably well-controlled


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