Female to Male Gender Reassignment Surgery

I perform a metaidoioplasty (extend, straighten, and release the clitoris) but do not extend the urethra. I will straighten the new penis and insert testicle implants into the labia majora at the same time. I often remove excess pubic by liposuction or excision. I don’t do a urethral extension, which requires a hysterectomy, vaginectomy, etc, because it has a much higher complication rate. I also do not perform microsurgical free flap phalloplasty, such as making a penis from a forearm. Surgery is performed as an outpatient.

I perform a secondary reconstruction of other phalloplasties to improve appearance, correct urinary problems, or insert penile implants. The scrotum is constructed by various techniques including tissue expansion, insertion of testicle implants, muscle flaps, and grafts. Testicle implants made of saline of solid gel are available.