Bottom Surgery for FTM Patients: Everything You Need to Know

Introduction

Bottom surgery, frequently referred to as gender affirmation surgery or gender confirmation surgery, is a surgical procedure that helps female-to-male (FTM) transgender individuals affirm their gender identity by achieving their desired physical characteristics. It is often one of the last steps in a person’s transition process.

This article will provide an overview of bottom surgery for FTM patients, including what it is, who is a candidate, the different types of procedures available, what to expect before, during and after surgery, the benefits and risks, how to prepare for the procedure, and post-surgery care. Let’s dive in!

Exploring the Basics of Bottom Surgery for FTM Patients

What is Bottom Surgery?

Bottom surgery is a gender-affirming procedure that involves the alteration of genitals and other reproductive organs to create a more masculine body. The goal of bottom surgery is to make the physical features of the body align with the individual’s gender identity, allowing them to feel more comfortable in their own skin.

Who is a Candidate for Bottom Surgery?

In order to be eligible for bottom surgery, individuals must meet certain criteria. Generally, this includes being at least 18 years old and having received a diagnosis of gender dysphoria from a mental health professional. Additionally, individuals must have been living in their affirmed gender role for at least one year prior to the surgery. Lastly, they must be able to demonstrate that they are mentally and emotionally prepared for the procedure.

Understanding the Different Types of Bottom Surgery Available to FTM Patients

There are several types of bottom surgery available to FTM patients, each of which has its own unique set of benefits and risks. These include metoidioplasty, phalloplasty, scrotoplasty, and urethroplasty.

An Overview of Bottom Surgery Procedures for FTM Individuals

Metoidioplasty

Metoidioplasty is a relatively simple procedure that involves releasing the clitoris from the surrounding tissue and extending it to create a penis-like structure. This procedure is typically recommended for those who don’t want or need a larger penis size, and it can be completed in one to two hours.

Phalloplasty

Phalloplasty is a much more complex procedure that involves using skin grafts to construct a penis. This procedure is typically recommended for those who desire a larger penis size, and it can take up to eight hours to complete. It also requires multiple follow-up surgeries to ensure proper healing and functioning.

Scrotoplasty

Scrotoplasty is a procedure that involves constructing a scrotum from existing skin. This procedure can take up to four hours to complete, and it is typically done in conjunction with other bottom surgery procedures.

Urethroplasty

Urethroplasty is a procedure that involves creating a new opening for urine to pass through. This procedure can take up to four hours to complete, and it is typically done in conjunction with other bottom surgery procedures.

What to Expect Before, During and After Bottom Surgery for FTM Patients

Pre-Surgery Consultation

Prior to undergoing any type of bottom surgery, individuals must first meet with a surgeon to discuss their goals and expectations. During this consultation, they will receive detailed information about the procedure, potential risks, and the expected outcome. Additionally, they will have the opportunity to ask any questions or voice any concerns they may have.

Preparing for Surgery

Once the pre-surgery consultation is complete, individuals can begin preparing for the procedure. This typically involves getting physically ready, gathering necessary items, and psychologically preparing for the surgery.

Surgery Day

On the day of the procedure, individuals must arrive at the hospital or clinic where the surgery will take place. Depending on the type of bottom surgery being performed, the procedure can take anywhere from one to eight hours to complete.

Post-Surgery Care

After the procedure is complete, individuals will remain in the hospital or clinic for a few days to monitor their progress. Once they are discharged, they will need to follow their doctor’s instructions for post-surgery care, which typically includes taking medications, avoiding strenuous activities, and attending follow-up appointments.

Comparing the Benefits and Risks of Bottom Surgery for FTM Patients

Benefits

One of the primary benefits of bottom surgery for FTM patients is that it can help reduce feelings of gender dysphoria. According to a study published in Psychology & Sexuality, “Overall, the findings suggest that gender-confirming surgery can lead to improved psychological well-being for transgender individuals.” Additionally, it can help individuals feel more confident and comfortable in their own bodies.

Risks

As with any type of surgery, there are some potential risks associated with bottom surgery for FTM patients. These include bleeding, infection, scarring, and nerve damage. Additionally, complications such as urinary problems, erectile dysfunction, and loss of sensation are possible, though rare.

A Guide to Preparing for Bottom Surgery for FTM Patients

Getting Physically Ready

Prior to undergoing bottom surgery, individuals must get physically ready by following their doctor’s instructions. This typically includes quitting smoking and drinking alcohol, eating a balanced diet, and exercising regularly. Additionally, individuals should speak to their doctor about any medications they are taking, as some may need to be stopped prior to the procedure.

Gathering Necessary Items

Individuals should also gather any necessary items they will need for the surgery and recovery period. This typically includes loose-fitting clothing, compression garments, ice packs, and a friend or family member to assist with post-surgery care.

Psychological Preparation

It is also important for individuals to mentally and emotionally prepare for the procedure. This typically involves talking to their doctor about any concerns they may have, as well as discussing the potential benefits and risks of the procedure. Additionally, individuals should make sure they have access to a support system that can provide emotional support during the recovery period.

A Look at Recovery and Post-Surgery Care for FTM Bottom Surgery Patients

Physical Recovery

The physical recovery period for bottom surgery for FTM patients typically lasts about six weeks. During this time, individuals must follow their doctor’s instructions for post-surgery care, which typically includes taking medications, avoiding strenuous activities, and attending follow-up appointments. Additionally, individuals should practice good hygiene and wear loose-fitting clothing during the recovery period.

Emotional Recovery

The emotional recovery period can vary from person to person, but it is important to remember that it is normal to experience a range of emotions during this time. To help cope with these emotions, individuals should reach out to their support system and utilize any mental health resources available to them.

Follow-Up Care

Finally, individuals should attend all follow-up appointments with their doctor to ensure proper healing and functioning. During these appointments, their doctor will assess the healing process and make any necessary adjustments or recommendations.

Conclusion

Bottom surgery is a gender-affirming procedure that can help FTM transgender individuals achieve their desired physical characteristics. While there are many benefits to the procedure, it is important to understand the potential risks and to be properly prepared both physically and emotionally. With the right preparation and post-surgery care, individuals can look forward to a successful outcome.