Gender-Affirming Surgeries: Men, Bottom

Gender-affirming surgeries for men are generally divided into two categories: top surgeries and bottom surgeries. Bottom surgeries are those that are performed either to remove existing reproductive and genital structures or to create such structures. The most common bottom surgeries for transmasculine individuals are phalloplasty, metoidioplasty, and hysterectomy. Phalloplasty and metoidioplasty are surgeries that are used to create a neo-phallus. Hysterectomy is a surgery that is used to remove the uterus. It is often paired with an oophorectomy, surgery to remove the ovaries.

Many transmasculine individuals are interested in undergoing one or more gender-affirming bottom surgeries. In general, individuals with a binary trans male identity are more likely to express interest in these surgeries than those with a nonbinary trans identity. However, not all trans men ...