Choosing a Phalloplasty

For transmasculine individuals seeking bottom surgery as part of their gender affirming process, phalloplasty is one of the primary surgical options. Methods for phalloplasty include radial forearm and anterolateral thigh flaps.

The choice of technique will depend on the your body build/physique and goals. We will discuss this with you at the time of your first consultation.

WPATH Standards of Care

 

The providers follow the WPATH Standards of Care, which require TWO letter from qualified mental health care professionals prior to the surgery.

Criteria for Phalloplasty

  1. Persistent, well documented gender dysphoria;
  2. Capacity to make a fully informed decision and to consent for treatment;
  3. Age of majority in a given country;
  4. If significant medical or mental health concerns are present, they must be well controlled;
  5. 12 continuous months of hormone therapy as appropriate to the patient’s gender goals;
  6. 12 continuous months of living in a gender role that is congruent with their gender identity.

Although not an explicit criteria, it is recommended that these patients also have regular visits with a mental health of other medical professional.

Hear From Our Patients

When River Jude August arrived for surgery, they faced yet another challenge in their long journey to align their body with who they know they are. River, who identifies as agender—or outside the female/male binary—had already changed their legal gender to X. They had transitioned socially, opted for several medical treatments, and now faced their biggest surgery yet. River was about to undergo phalloplasty, the construction of a phallus. 

Read River's Story

Picture of patient River August who underwent phalloplasty surgery