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Undergoing gender reassignment surgery is a profound journey towards wholeness, authenticity and personal fulfillment. There are many stages to consider, but once an FTM patient has undergone phalloplasty, the natural implication is to follow up with additional refinements, including glansplasty, penile implants, scrotoplasty and scrotal implants. This provides a sense of completion and closure to bottom surgery.

Scrotoplasty creates a realistic scrotum using the tissue from the labia majora. The surgery leaves a pouch-like unit that makes it easy to ride bikes and perform other physical tasks. If a larger scrotum is desired than can be created with native tissue, the Align surgical team may use a tissue expander, and eventually silicone testicular implants. Depending on the type of phalloplasty or metoidioplasty you choose, scrotoplasty can be performed at the same time, or in a staged fashion several months later.

We will discuss the pros and cons of the different options (whether to use testicular implants or not) during your confidential Bay Area consultation, so you can make the most informed and empowered decision for your goals.

What are the advantages of scrotal surgery?

  • More authentically masculine appearance to the lower body
  • Improved sense of self-confidence in one’s image
  • Gender-affirming procedure
  • Safe, effective and long-lasting treatment

Who is a good candidate for scrotoplasty?

Patients should have persistent, well-documented gender dysphoria with at least 2 letters of support from a mental health provider, according to the WPATH’s Standards of Care for transgender people. Clients should be on hormonal therapy for at least a year or two. We accept non-smokers in good emotional and physical health who have realistic expectations for their outcome based on a private consultation at his San Francisco offices.

Scrotal Surgery Bay Area

What will my recovery entail?

Swelling, tenderness and bruising may persist for 7-10 days, but discomfort can be alleviated with pain medications as well as ice packs. Clients should avoid strenuous exercise and sexual activity for 6-8 weeks to allow proper healing to take place. Dr. Satterwhite and Dr. Gurujal will provide detailed aftercare instructions and will see you for regular follow-up visits to ensure your recovery is on track.

How much does scrotum surgery cost?

Scrotoplasty ranges in price, depending on the complexity of the work and on your personal aesthetic goals. We will provide a personalized, in-depth quote at the time of your confidential Bay Area consultation. We will work with you to secure financing through a variety of trusted healthcare lenders, many of whom offer approval on the spot.

Dr. Satterwhite is not only an amazing surgeon, but has the most admirable bedside manner. He is Stanford educated and is patient beyond belief. He treats every patient with respect and tailors each and every surgery to his patient's needs. He is a 5 star surgeon!

Scrotal Surgery Bay Area
(415) 592-6307



View Update Virtual Consultation

A Message to Our Patients:


With the safety and well-being of our patients and staff as our highest goal, Dr. Satterwhite and Dr. Gurujal are determined to provide the medical care and planning you need during COVID-19.

  • VIRTUAL CONSULTATIONS: we continue to be busy with phone and video visits providing access to all patients interested in gender confirming surgery
  • FOLLOW UPS: we continue to provide needed care for our existing patients by phone and video, and in person when medically appropriate
  • SURGERY: while we cannot currently perform surgery due to the shelter in place, we continue booking surgeries for future dates

Please do not hesitate to reach out to us and let us know how we can help. To the best of our ability, we pledge to keep you safe, healthy, connected, and informed!


With best wishes, Your Align Surgical Team


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