Female to Male Gender Reassignment Surgery (FTM)

If you identify as male but were assigned female at birth, Female-to-Male (FTM) Gender Reassignment Surgery can help align your physical body with your gender identity. Also known as Gender Affirmation Surgery or Sex Reassignment Surgery (SRS), this process involves comprehensive evaluation, counseling, and staged surgical procedures to create a natural male appearance and function.

Chest Surgery (Top Surgery)

Top surgery removes breast tissue to create a well-contoured male chest with minimal scarring.

• Technique: Tumescent liposuction or direct excision, keyhole for small breasts
• Duration: 1–2 hours
• Anesthesia: General or Local with Sedation
• Recovery: Return to work in 2–5 days; avoid strenuous activity for 4–6 weeks; pressure garment for 2–4 weeks

For larger breasts, additional skin removal may be necessary, potentially resulting in horizontal scars along the lower chest.

Genital Surgery

Hysterectomy and Vaginectomy

This stage removes the uterus, ovaries, and optionally the vagina via minimally invasive endoscopic surgery, leaving no visible scars.

• Duration: 2–4 hours
• Anesthesia: General
• Recovery: 2–5 days; 1–2 days hospital stay

Phalloplasty (Penile Reconstruction)

Usually staged over 2–3 procedures spaced 6–9 months apart:

1. Stage 1: Free flap creation (usually from forearm) to construct a sensate penis.
   Duration: 7–10 hours | Recovery: 10–20 days | Hospital stay: 10–14 days
2. Stage 2: Penile implant insertion for erectile function, after sensation is established (~6–9 months).
   Duration: 1–2 hours | Recovery: 5–7 days
3. Stage 3: Scrotal reconstruction using labia majora skin and testicular implants.
   Duration: 1–2 hours | Recovery: 5–7 days | Outpatient procedure

Benefits of FTM Surgery

• Aligns physical appearance with male gender identity
• Improves mental health and reduces gender dysphoria
• Enables male chest contour and genital reconstruction
• Staged procedures allow gradual adaptation and healing
• Minimal visible scarring with modern techniques

Preparation for Surgery

Before surgery, candidates undergo psychological evaluation, endocrinology consultation, and general medical assessment. Preparation may include stopping certain medications, blood work, and lifestyle optimization. Detailed discussion with your surgeon ensures safe outcomes.

Schedule Your FTM Gender Reassignment Consultation

Take the first step toward aligning your body with your gender identity. Book a consultation with our expert surgeons to discuss your personalized FTM gender affirmation plan.

Related Resources

• Male to Female Gender Reassignment Surgery (MTF) – Explore options for FTM counterparts
• Transgender Surgery World – Complete FTM and MTF surgery guide
• Top Surgery Details & Recovery – Learn about chest masculinization techniques