Masculinizing or “FTM” bottom surgery procedures include hysterectomy (removal of the uterus), vaginectomy (removal of the vaginal canal), metoidioplasty and phalloplasty. Qualified transgender and non-binary patients can choose from the aforementioned procedure. Female-to-male (FTM) bottom surgery, also known as transmasculine surgery, is a series of procedures that transform the physical appearance of the genitalia from female to male.

Understanding the Context

This type of sex reassignment surgery is a pivotal component of the physical transition process for many. A comprehensive 2026 guide to FTM bottom surgery covering procedures, techniques, costs, recovery, medical tourism options, risks, and long-term outcomes for transgender men and non-binary individuals. Female - To - Male (FTM) Bottom Surgery in 2026: A Detailed Guide on ... As a transgender male, your goal for female to male surgery (FTM) for gender-confirmation can involve top surgery, bottom surgery, or both.

Key Insights

You may or may not want facial procedures. There are multiple forms of gender affirming surgery, including the removal of breasts (also known as top surgery) and the altering of the genital region (also known as bottom surgery). Metoidioplasty is a gender affirming, lower body (bottom) surgery. The procedure creates a penis about 4 to 6 centimeters long using the clitoris, which may be enlarged by hormone therapy. The surgery can be completed in stages, each performed a few months apart, depending on the patient’s objectives.

Final Thoughts

Metoidioplasty: What Happens The Crane Center specializes in transmasculine bottom surgery procedures including multiple techniques for metoidioplasty and phalloplasty. Explore the list below and select any procedure to learn about the different options available. This page lists select surgeons who perform FTM and transmasculine bottom surgeries worldwide. Our goal is to help you understand your options, compare techniques, and connect with providers whose approach and philosophy best align with your goals. Bottom surgery generally refers to one of three surgeries. The first, vaginoplasty, is typically pursued by transgender women and AMAB (assigned male at birth) nonbinary people.