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Understanding Female to Male (FTM) Surgery: Causes, Types, and When to Seek Medical Help

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Understanding Female to Male (FTM) Surgery

Female to Male (FTM) surgery, also known as masculinising gender-affirming surgery, is a series of procedures that help transgender men align their physical body with their gender identity. These surgeries can include chest (top) surgery, genital (bottom) surgery, and additional body masculinisation techniques.

These procedures are deeply personal and often part of a broader gender transition plan, which may also include hormone therapy, voice training, and psychological support. Every individual’s transition is unique, and FTM surgeries are tailored to their needs, goals, and medical suitability.

 

What is Female to Male (FTM) Surgery?

FTM surgery may include one or more of the following:

Top Surgery (Chest Masculinisation): Removal of breast tissue and reshaping of the chest to create a more masculine appearance

Hysterectomy and Oophorectomy: Removal of the uterus and ovaries

Metoidioplasty: Uses hormonally enlarged clitoral tissue to construct a phallus

Phalloplasty: Full construction of a penis using skin grafts (often from the arm, thigh, or abdomen)

Scrotoplasty and Testicular Implants: Creation of a scrotum and optional placement of prosthetic testicles

Urethral Lengthening: To allow for urination while standing

Each procedure has its own recovery time, goals, and surgical approach, which your specialist will carefully explain during your consultation.

 

What to Expect During FTM Surgery Services

Before the Service:

You'll undergo consultations with gender-affirming surgeons and possibly mental health professionals

Pre-surgical assessments, lab tests, and hormone history reviews are typically required

You may be asked to stop hormone therapy temporarily or adjust medications

During the Service:

Surgeries are performed under general anaesthetic

The complexity and duration depend on the procedure(s) chosen

Hospital stays vary from outpatient same-day discharge to several days for major surgeries

After the Service:

Recovery ranges from 2 weeks to several months depending on the surgery

You’ll receive wound care instructions, support for scar healing, and physiotherapy if needed

Follow-up appointments are important to monitor healing and outcomes

 

Who Conducts This Service

FTM surgeries are conducted by:

Gender-Affirming Surgeons

Specialist Plastic and Reconstructive Surgeons

Urological and Gynaecological Surgical Teams

Multidisciplinary Gender Clinics (NHS and private)

My Health Assistant works with qualified and inclusive providers experienced in gender-affirming surgical care, ensuring you feel safe and supported every step of the way.

 

Who Might Need This Service

FTM surgery services are suitable for:

Transgender men seeking surgical transition options

Non-binary individuals exploring masculinising surgeries

Those medically and psychologically cleared for surgery

Individuals aged 18+ (though some services may vary in age requirements)

Surgical readiness assessments, which often include physical health evaluations and a gender dysphoria diagnosis, are part of the pre-surgical process.

 

Types of Female to Male (FTM) Surgery Services

There are multiple options for FTM surgery, and individuals may choose any combination of the following:

Chest (Top) Surgery

Total Hysterectomy with or without Salpingo-Oophorectomy

Metoidioplasty

Phalloplasty with Urethroplasty or without

Scrotoplasty and Implants

Body Masculinisation (liposuction, fat redistribution, abdominal sculpting)

Each person’s surgical plan is unique, based on their physical characteristics, goals, and health.

 

Risks Associated with Female to Male (FTM) Surgery

As with any surgery, FTM procedures carry potential risks:

Infection, bleeding, or scarring

Loss of sensation or reduced erogenous function

Complications with urethral lengthening (stricture or fistula)

Implant-related risks (in scrotoplasty)

Blood clots or anaesthetic complications

Emotional adjustment post-surgery

Comprehensive pre-surgical counselling and experienced surgical teams help reduce and manage these risks.

 

How to Choose the Right Health Professional

When seeking an FTM surgery service near you, consider the following:

Choose a surgeon with experience in gender-affirming care

Review before-and-after results and testimonials

Ensure mental health and post-surgical support is included

Look for providers who understand and respect trans experiences

Check for affiliations with regulated bodies and surgical accreditation

With My Health Assistant, you can explore qualified clinics and professionals who specialise in trans healthcare, ensuring both safety and dignity throughout your journey.

 

Summary

FTM surgery is a life-changing and affirming process for many transgender individuals. Whether you’re taking your first step or moving forward in your transition, it’s essential to have access to expert, respectful care. My Health Assistant connects you with the right FTM surgery service near you, empowering your journey toward authenticity, health, and wholeness.