Bottom Surgery (FTM)
A powerful step toward alignment, we’re here to guide you with empathy, expertise, and respect.
What Is Bottom Surgery?
- Phalloplasty: Creation of a penis using tissue from the forearm (radial forearm flap), abdomen (abdominal flap), or thigh (ALT flap), with staged placement of erectile devices.
- Metoidioplasty: Utilizes a hormonally enlarged clitoris to construct a smaller phallus, with or without urethral extension.
- Urethral Lengthening: Involves connecting the native urethra to a constructed urethra in the neophallus to allow for urination from the tip of the neophallus.
- Prosthetics: We offer placement of both inflatable and malleable penile prostheses, as well as testicular implants, tailored to your goals and timing preferences.
These surgeries can help align a person’s body with their gender identity, support sexual function, and foster emotional well-being. Many patients pursue bottom surgery as part of a multi-stage, full-spectrum transition process.
Contact Us Today
Explore the Benefits of Bottom Surgery
Restored bodily autonomy
Improved self-image and confidence
Enhanced congruence between body and identity
Enhanced intimacy and sexual function
Real People. Real Stories.
Learn More About
Life After Transformation.
What to Expect
During the Procedure
Our surgeries are performed by skilled microsurgeons specializing in genital reconstruction. Phalloplasty and metoidioplasty are multi-stage procedures that require approximately 12 weeks of recovery, with a 6-month interval between stages (if needed). Nerve coaptation techniques are used to maximize sensation and sexual function. Most procedures are performed under general anesthesia, with hospital stays ranging from one to five days. You’ll have a dedicated team monitoring your comfort, healing, and early mobility from the moment you wake up. Catheters, drains, and wound dressings are typically in place for the first few days, and our team will walk you through every step—before, during, and after surgery.
Risks and Recovery
As with any major surgery, these procedures pose risks such as fistula, stricture, scarring, or sensory changes. Initial healing takes several weeks, followed by longer-term monitoring of urinary function, sensation, and tissue integration. Many patients return to daily routines within 2–3 months, with full recovery often continuing up to a year.
Healing doesn’t stop when you leave the hospital—and neither does our care. You’ll have regularly scheduled follow-up visits to monitor healing, manage any complications early, and track sensory return. Our team also partners with pelvic floor therapists, urologists , and behavioral health practitioners to ensure your post-op recovery and long-term follow up needs are met.
Contact Us Today
The Surgeons Who Stand with You
Planning for Surgery
Travel and Accommodations
We welcome patients from all over. Our care coordinators can help arrange lodging and travel support for out-of-town patients.
Insurance and Financial Planning
Our team will help you verify coverage and understand your financing options.
Additional Resources
Looking for more information? Visit our Patient Resource Center for recovery checklists, videos, and community referrals.
Contact Us Today
Frequently Asked Questions
How do I know if I'm a good candidate?
You should be in good physical and mental health and ready to move forward with surgery when it feels right for you. Our practice’s policy is not to treat anyone under the age of 19. Call us to schedule your consultation on or after your 19th birthday.