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 results should I expect after transmasculine bottom surgery?

The final results of transmasculine bottom surgery can help alleviate the feelings of gender dysphoria that some individuals may experience.

Over time, the new penis will settle into position and the scar lines will improve, although they'll never disappear completely. There are trade-offs, but most transmen feel these are small compared to the large improvement in their quality of life and the ability to look and feel like a man.

Although most transmen choose to have their ovaries removed, some do not. The amount of ovarian growth as a result of testosterone therapy is small, the risk of developing ovarian cancer is not zero. Careful monitoring of ovarian health through exam is essential to your long-term health.

A prosthesis is usually placed in the penile tissues at a later date to provide rigidity to the tissues.

When you go home, if you experience shortness of breath, chest pains, or unusual heartbeats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

Following your physician's instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.



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