The World of Female to Male Masculinization Surgery

by | May 28, 2018 | Health

In many cases, a transman will begin his journey toward reassignment by partaking in counseling or therapy and beginning testosterone therapy to masculinize his body. At some point following those things, many transgender men choose to undergo surgery in order to conclude the process of transition. However, which surgeries are chosen, if any, is a very personal decision for each transman. In this article, we will look at the different options and types of female to male reassignment surgery.

Top Surgery (Chest)

The most common surgery for transmen to undergo is chest surgery, also known as “top” surgery. The goal of this type of surgery is to provide a male-appearing chest. There are two main options for top surgery: double incision or peri-areolar incision. The size and shape of the transman’s body may make one or the other a better choice. This surgery is very common in the female to male community and surgeons across the country specialize in these procedures.

Face & Body Masculinization

There are several procedures that can be used to give a transman a more masculine-appearing face or body. Facial masculinization surgery can include countering of the forehead, rhinoplasty, thyroid cartilage enhancement, and other procedures. For body masculinization surgery, the body is shaped to have more masculine contours. This will lead to a broader torso, less fat in the lower body, and a trim waist.


Another female to male reassignment surgery is the hysterectomy or oophorectomy. An oophorectomy surgery involves the removal of the fallopian tubes and ovaries. A hysterectomy is the removal of the cervix and uterus. In many cases, these procedures are done at the same time. This surgery removes most of the need for gynecological care, something that can be overwhelming and stressful for transmen. It also removes the risk of ovarian cancer and other similar illnesses. This surgery is fairly common for transmen who have been on testosterone therapy for many years.

Genital Reconstruction

Transmen also sometimes choose to have genital reconstruction procedures done in order to have male-appearing and functioning genitals. There are a few different procedures available, including phalloplasty, metoidioplasty, and the Centurion procedure. In each of these procedures, the existing genitals are used to create a penis and male urethra. phalloplasty also uses skin grafts from other areas of the body to build the penis.

If you are interested in learning more about female to male reassignment surgery, you can visit The International Center for Transgender Care. We’d be happy to answer any of your questions at

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