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Masculinizing Genital Surgery: Before Your Surgery

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What is masculinizing genital surgery?

Masculinizing genital surgery changes the look and function of your genitals so they align with your gender identity. This is also called "bottom surgery." It may relieve gender dysphoria so you can feel more at ease in your body.

There are many types of bottom surgery. For example, you may have your uterus removed (hysterectomy). You may have your vagina removed (vaginectomy). The doctor can use your clitoris to create a small penis. This is called metoidioplasty. Or skin and tissue from other parts of your body can be used to create an average-sized penis. This is called phalloplasty. The urethra can be made longer so you can urinate while standing. You may also have surgery to create a scrotum (scrotoplasty).

Some of these surgeries can be done at the same time. Others may need to be done separately. Your doctor can discuss the best timing for the surgeries you want.

You may stay in the hospital for up to a few days after bottom surgery. Your recovery will depend on the type of surgery you had. Healing may take from a few weeks to several months.

How do you prepare for surgery?

Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.

Preparing for surgery

 
  • Arrange for the care and support you'll need after surgery. Be sure you have someone to take you home. At home, you'll need help with many things, including wound care and showering. Your doctor can tell you how long you'll need this help. Having the support of people who care about you is important to your recovery.
  • Understand exactly what surgery is planned, along with the risks, benefits, and other options.
  • Tell your doctor ALL the medicines, vitamins, supplements, and herbal remedies you take. Some may increase the risk of problems during your surgery. Your doctor will tell you if you should stop taking any of them before the surgery and how soon to do it.
  • If you are taking hormones, your doctor will tell you whether to keep taking them or to stop before your surgery.
  • If you take a medicine that prevents blood clots, your doctor may tell you to stop taking it before your surgery. Or your doctor may tell you to keep taking it. (These medicines include aspirin and other blood thinners.) Make sure that you understand exactly what your doctor wants you to do.
  • If you smoke, try to quit. Smoking slows healing and increases surgery risks. Your doctor may require that you quit for a period of time before and after surgery. You have the best chance for a healthy recovery if you quit smoking completely. If you need help quitting, talk to your doctor.
  • Be sure to tell your doctor if you have any changes in your physical or mental health that might affect the surgery or your recovery.
  • Make sure your doctor and the hospital have a copy of your advance directive. If you don't have one, you may want to prepare one. It lets others know your health care wishes. It's a good thing to have before any type of surgery or procedure.

What happens on the day of surgery?

  • Follow the instructions exactly about when to stop eating and drinking. If you don't, your surgery may be canceled. If your doctor told you to take your medicines on the day of surgery, take them with only a sip of water.
  • Follow your doctor's instructions about when to bathe or shower before your surgery. Do not apply lotions, perfumes, deodorants, or nail polish.
  • Do not shave the surgical site yourself.
  • Take off all jewelry and piercings. And take out contact lenses, if you wear them. If you're not able to remove jewelry, let your surgical team know as soon as possible.

At the hospital or surgery center

 
  • Bring a picture ID.
  • You will be kept comfortable and safe by your anesthesia provider. You will be asleep during the surgery.
  • How long surgery takes will depend on what types of surgery you're having. Your doctor will tell you what to expect.

When should you call your doctor?

  • You have questions or concerns.
  • You don't understand how to prepare for your surgery.
  • You become ill before the surgery (such as fever, flu, or a cold).
  • You need to reschedule or have changed your mind about having the surgery.

Where can you learn more?

Go to http://www.healthwise.net/patientEd

Enter M347 in the search box to learn more about "Masculinizing Genital Surgery: Before Your Surgery".

Current as of: April 30, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: April 30, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.