American Society of Plastic Surgeons
For Medical Professionals

Transmasculine Bottom Surgery

Masculinizing Genital Surgery

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

How should I prepare for transmasculine bottom surgery?

In preparing for transmasculine bottom surgery, you may be asked to:

  • Get lab testing or a medical evaluation
  • Provide two letters of recommendation from two therapists
  • Take certain medications or adjust your current medications
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

Transmasculine bottom surgery is typically performed in a hospital setting, and will likely use general anesthesia. Some follow-up procedures may be performed on an outpatient basis, and often multiple procedures are required until the final stage. These decisions will be based on the requirements of your specific procedure and in consideration of your preferences and your doctor's best judgment.


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