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Transmasculine people or transgender men often find it challenging to feel comfortable in their bodies, which is why they may opt for an FTM transgender surgery.

Comfort is just one of many reasons, and whether your reasons are related to comfort, gender identity, or simply cosmetics, FTM transgender surgery is a great option. It is a female-to-male (FTM) sex reassignment surgery, often known as gender-affirming surgery.

There are many surgical procedures involved in such a surgery, and they include top and bottom surgeries. Top surgery refers to a mastectomy, which is a chest reconstruction surgery involving the removal of breasts.

Bottom surgery refers to many surgeries including, hysterectomy, metoidioplasty phalloplasty, vaginectomy, and scrotoplasty. Let’s discuss these surgeries in some detail to give you an idea of the process of FTM transgender surgery.

Before we begin, always remember to consult Take Shape Plastic Surgery in Fort Lauderdale for the best transgender and cosmetic surgery solutions in South Florida.

The Process of FTM Transgender Surgery

To prep a transmasculine person for FTM transgender surgery, they will first have to go through testosterone replacement therapy. Their plastic surgeon may then proceed with one or more of the following procedures, depending on the patient’s preferences.

Mastectomy (Chest Reconstruction)

Formally known as a subcutaneous mastectomy, this procedure involves removing breast tissue and adjusting the nipples and their appearance. The surgery is followed by testosterone therapy, which promotes chest hair growth for a comprehensive chest reconstruction.

Hysterectomy (Uterus Removal)

Transmasculine people may choose a hysterectomy if their hormone therapy is unable to stop their menstruations. It also helps those who are not comfortable with having a uterus or cervix.

There are two types of hysterectomies, partial and total. In a partial hysterectomy, only the uterus is removed, whereas a total hysterectomy involves removing the cervix. Often this type of FTM transgender surgery is accompanied by a bilateral salpingo-oophorectomy (BSO).

A BSO is performed to remove both the fallopian tubes and ovaries.

Metoidioplasty (Neopenis Construction)

Metoidioplasty involves the construction of a neopenis, i.e., a new penis. Hormone therapy helps enlarge the clitoris, which is then changed into a penis. A vaginectomy, which is the surgical removal of the patient’s vagina, is also performed during a metoidioplasty.

The surgeon then lengthens the patient’s urethra through the newly constructed penis. This specific part of the surgery allows the patient to urinate in a standing position.

Many patients may opt for increased girth via a Centurion procedure. The constructed neopenis in a metoidioplasty may have natural erections because of the erectile capability of the clitoral tissue; however, the smaller size is often not enough to perform penetrative sex.

  • Phalloplasty (Neopenis Construction)

A phalloplasty is another type of bottom surgery that involves skin grafting to form the neopenis. The benefit of phalloplasty is a larger neopenis; however, it is incapable of natural erections. The patient can opt for a separate penile implant after recovery, which allows erections for penetrative sex.

This FTM transgender surgery also includes a vaginectomy and allows the patient to urinate while standing. Compared to metoidioplasty, a phalloplasty is more expensive and requires more revisions and surgical visits.

  • Scrotoplasty (Scrotum Construction)

A scrotoplasty involves hollowing and repositioning the labia majora to construct a scrotum, which is then implanted with silicone testicular implants. This FTM transgender surgery is often done alongside either of the mentioned neopenis construction surgeries.


These are all the surgeries involved in the process of FTM transgender surgery. Transmasculine people may opt for either one or more of these surgeries, depending on their preference and needs. It is important to note that these are highly invasive surgeries that take hours to perform, and they also have long recovery periods that may last up to 6 weeks after discharge. 

You should always consult your doctor regarding all the mentioned surgeries, their durations, recovery periods, and the risks involved; this means consulting the experts at Take Shape Plastic Surgery if you live in or around Fort Lauderdale, Florida.

If you want to learn more about the process of FTM transgender surgery or want the expertise of the best plastic surgeon in Fort Lauderdale, please visit our website today.

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