Masculinizing bottom surgery can involve metoidioplasty, phalloplasty and other procedures chosen around a person’s goals. Results and recovery differ by technique, anatomy and the procedures included; no one result can be promised. Mayo Clinic: Masculinizing surgery.
Metoidioplasty and phalloplasty have different goals
Metoidioplasty uses existing genital tissue to create a small penis. Phalloplasty creates a penis using a tissue flap, often from another part of the body. They are distinct operations, not interchangeable names for the same procedure. Johns Hopkins: Metoidioplasty for gender-affirming care.
What outcomes should be discussed?
Talk about the importance of sensation, appearance, standing to urinate and penetrative sex for you. Phalloplasty may involve multiple stages and later implants. A consultation should distinguish the goals of each stage from outcomes that are uncertain or require further surgery. Johns Hopkins: Phalloplasty for gender affirmation.
Risks and further procedures
The surgical plan may carry risks involving healing, urinary function or the donor site. Ask your surgeon for complication and revision information relevant to their technique and follow-up period. A percentage from an unrelated operation is not a personal forecast. Johns Hopkins: Phalloplasty for gender affirmation.
Questions to take to your appointment
- Which of my goals does this procedure address?
- How many planned stages are likely, and what might require a revision?
- What will recovery and follow-up involve where I live?
- How are your outcome figures measured?
Some trans men do not want genital surgery. This overview is a starting point for informed questions, not a recommendation to have a particular procedure.