Metoidioplasty

Each transman has his own individual idea of what gender affirmation means. It may include hormones, surgery, a new name, or it might not entail any of these options. The goal at Align Surgical Associates Inc. is to provide you with the tools you need to express your authentic identity and feel secure in your body. Metoidioplasty bottom surgery can be performed to create a neophallus (penis), offering FTM clients the opportunity to feel more aligned with their ideal self-image.

Bottom Surgery with Dr. Safir

What is metoidioplasty, and how is it performed?

During metoidioplasty, the existing genital tissue can be used to create a neophallus. This procedure is less extensive than phalloplasty and does not preclude getting phalloplasty at a later date. Metoidioplasty is performed after about 12 months of testosterone therapy, which allows time for the clitoris to enlarge in terms of both girth and length. After the clitoris has grown in size, the metoidioplasty procedure releases it from surrounding tissue, forming a phallus.

The neophallus will have full erogenous sensation, be capable of erection, and may or may not be used for penetrative intercourse, depending on its overall size.

What are other options for metoidioplasty?

Vaginectomy
Removal of appearance of labia minora
Hysterectomy
Scrotoplasty
Testicular implant placement
Monsplasty

What are the benefits of metoidioplasty?

Single-stage procedure
Preservation of sexual pleasure and arousal
Shorter hospital stay, or outpatient surgery
Minimal postoperative morbidity
Can be converted to a phalloplasty at a later date
Gender affirming procedure
Helps enhance self-confidence and quality of life
Avoids complexity and potential risks of phalloplasty

Who is a good candidate for metoidioplasty?

Metoidioplasty is appropriate for clients who wish to undergo bottom surgery in typically a single-stage treatment, who will be content with the size of the phallus resulting from the enlarged clitoris, and who would like to avoid the increased risk profile of phalloplasty.

Patients pursuing metoidioplasty should be healthy, both emotionally and physically, and they should have realistic expectations for their outcome after meeting with our team in San Francisco.

What happens after the procedure?

Your doctor will provide you with a detailed aftercare plan that outlines best practices for healing after metoidioplasty. The satisfaction rate among clients who have undergone the surgery is typically over 80%.

What is the cost of metoidioplasty?

Fees for surgery will differ from patient to patient, depending on the extent of the surgery performed. In general, pricing will include the following:

Surgeon's fees
Facility fees
Anesthesia fees
Fees for postsurgical garments
Fees for diagnostic testing

We will provide you with an in-depth quote for services at the time of your consultation. Check with your individual insurance carrier to find out their policies regarding metoidioplasty coverage.

Why choose Align Surgical Associates Inc.?

Our goal is to provide outcomes for our clients that reflect their deepest wishes to live authentic and fulfilling lives. From our cutting-edge technology and equipment to our compassionate, detailed consultation process, Align Surgical is dedicated to transgender clients seeking improved aesthetics, well-being, and peace of mind. Embarking on gender affirmation surgery can be daunting for FTM clients especially, which is why it’s so important to work with a vetted team that you trust and can relate to.

Metoidioplasty is performed by Dr. Gurjala, an experienced and compassionate gender affirmation specialist in San Francisco. Dr. Gurjala is passionate about helping transgender patients to experience the highest quality of life possible, and that means performing intricate, complex surgeries with precision, innovation, and skill. Dr. Gurjala trained in Aesthetic and Reconstructive Plastic Surgery at Northwestern in Chicago and completed a demanding Microsurgery Fellowship at Stanford.