FTM surgery, also known as gender-affirming surgery for transgender men and non-binary individuals, includes a series of surgical procedures that help align the body with a masculine identity. These procedures may involve chest reconstruction, genital surgery, and body contouring to create a more traditionally masculine appearance.
Chest Masculinization Surgery (Top Surgery)
Removes breast tissue to create a more masculine chest.
Common techniques include:
Double Incision Mastectomy: Removes breast tissue with horizontal chest scars and free nipple grafting.
Periareolar/Keyhole Mastectomy: Suitable for smaller chests with minimal scarring and nipple repositioning.
Genital Reconstruction Surgery (Bottom Surgery)
Includes procedures to create male genitalia, often performed in multiple stages.
Options include:
Metoidioplasty: Uses testosterone-enlarged clitoral tissue to create a small phallus.
Phalloplasty: Constructs a larger phallus using skin grafts from other body parts (e.g., forearm, thigh).
Urethral Lengthening: Allows for standing urination.
Scrotoplasty: Creates a scrotum with testicular implants.
Hysterectomy & Oophorectomy
Surgical removal of the uterus and ovaries to reduce estrogen production and align with a male identity.
Body Contouring
Liposuction or fat redistribution can help create a more masculine silhouette by reducing curves.
Facial Masculinization Surgery (FMS)
Procedures such as jaw augmentation, forehead contouring, and chin reshaping to create a stronger, more angular facial structure.
Transgender men and non-binary individuals seeking physical alignment with their gender identity.
Individuals in good overall health and free from major medical conditions.
Those who have undergone hormone therapy (if desired) and have realistic expectations.
Non-smokers or individuals willing to quit before and after surgery to promote healing.
Chest Surgery: Recovery takes about 4-6 weeks, with compression garments recommended.
Genital Surgery: Healing may take several months, with multiple follow-up appointments.
Pain Management: Medications prescribed to manage post-surgical discomfort.
Activity Restrictions: Avoid heavy lifting and intense exercise during recovery.
Follow-Up Appointments: Regular check-ins with the surgical team ensure proper healing and adjustment.
Scarring, though incisions are placed strategically for minimal visibility.
Loss of sensation in the chest or genital area.
Infection or delayed healing, requiring proper post-operative care.
Multiple procedures may be needed to achieve the desired results.
Enhances gender affirmation and self-confidence.
Provides a more aligned body image for improved mental well-being.
Allows for greater comfort in clothing and social settings.
Offers long-lasting, physically transformative results.
FTM surgery is a life-changing option for transgender men and non-binary individuals seeking physical alignment with their gender identity. Consulting with a board-certified gender-affirming surgeon ensures the best approach tailored to individual needs.
