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.

What are the steps of transmasculine bottom surgery?

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

Often, the vagina, uterus, and ovaries have already been removed in a previous procedure. The blood vessels and nerves in the pelvis which will receive the attachments to the newly reconstructed penis are identified and preserved.

The tissue which will be used to reconstruct the penis is harvested from another part of the body, and shaped to look like a penis. This tissue is transferred to the pelvis where the blood vessels and nerves are attached to recipient vessels in the pelvis. The urethra is also lengthened.

A support garment is used to stabilize the position of the penis. The donor sites where the tissues were taken from are closed.


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