Genital reassignment surgery alters female genitalia into male genitalia.

FTM Gender Confirmation

Erin Storm, PA-C

Definitive guide on FTM Gender Confirmation: Genital Construction, including the procedure overview, benefits, risks, recovery, before & after photos, costs, and more.

Gender Confirmation Surgeries

Chest Surgery for Transgender and Gender Nonconforming Individuals

FTM Gender Confirmation: Genital Construction

FTM gender reassignment surgery costs generally exceed $50,000. The actual cost of a surgical procedure will be dependent on location, surgeon, and length and involvement of the surgery.

Female to Male Gender Reassignment surgery is also known as Sex Reassignment Surgery (SRS), Genital Construction, and generally as Gender Confirmation Surgery. These plastic surgery procedures are used by transgender patients to remove and alter female genitalia into traditional male genitalia. 

Plastic surgeons will usually perform a hysterectomy and salpingo-oophorectomy to remove the uterus and ovaries. A vaginoplasty or vaginectomy will close the vagina, the erectile tissue of the clitoris is released and with the mons portion of the pubic area a neo-phallus is created (phalloplasty or metoidioplasty). The labia majora then become the scrotum (scrotoplasty), bilateral testicular implants are placed, and finally the urethra is lengthened through the newly created penile tissue.

Typically Gender Reassignment surgery is performed as a last step in a transgender individuals transition journey. Guidelines on standards of care from The World Professional Association for Transgender Health (WPATH) state candidates must have letters of recommendation from their mental health professional and healthcare provider, have been living full time as a man for one year, and have completed one year of hormonal therapy to be eligible.

FTM Gender Confirmation Solutions

Penis

Groin

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- Prophylactic antibiotics or antivirals may be prescribed 
- Stop taking blood thinning medications two weeks prior to surgery. Blood thinners may include, Advil, Tylenol, Aspirin, and prescription anticoagulants 
- Stop smoking four weeks prior to the procedure and continue cessation for four weeks post op
- No alcohol two days prior to the procedure
- Do not eat or drink six hours before

Before Surgery

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- General anesthesia
- A hysterectomy, oophorectomy, and vaginoplasty are performed
- The clitoris is released from suspensory ligaments
- The neo-phallus and scrotum are created with existing tissues
- Testicular implants are placed
​- The urethra is lengthened

During Surgery

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Immediately After Surgery

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- Resume most activities after a few days
- Swelling typically resolves within a few weeks
- Avoid strenuous activity for two to four weeks
- Remove urinary catheter after two to three weeks

1 - 30 Days After Treatment & Beyond

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- Results are permanent
- Proper aftercare will ensure optimal results
- Any revisions needed are typically not performed until six months after the initial procedure

Result Notes

A FTM gender reassignment surgery creates male genitalia. Here is a quick guide for what to expect before, during, and after a FTM gender reassignment surgery:

FTM Gender Reassignment: Genital Construction

As part of a transgender individual’s transition, genital reassignment surgery alters female genitalia into male genitalia.

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FTM Gender Confirmation: Genital Construction

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FTM Gender Confirmation

Concerns Treated

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Concerns Treated

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