Most of us with gender dysphoria dream of going to sleep and waking up in the correct body. But, more and more there are those
who choose not to have SRS (Sex reassignment surgery) or GRS (Gender confirming Surgery).
While we dream of being in the right bodies, our gender IS in our minds, it is our Soul and it is what defines us, our self identity.
We don’t need the surgery to prove to ourselves who we are. We know who we are and as such if a transgendered individual elects
to not have the surgery, that in no way changes the fact of who we are or how we should be treated or addressed.
Not all of us can afford GCS or have the courage to go under the knife. We are still human beings and deserve the right to live a life
free of harassment and fear.
For those of you that wish to have the surgery then please read on. There is a lot of information here and it is not always easy to
find a doctor you want. Don't be in a hurry, just to get the surgery done. Take time and research your decision carefully. There are
many things to consider. As you gather information on doctors and the surgeries they do, you should also speak to patients who
have actually had the surgery from that surgeon. Things to consider should include, appearance, function, sensitivity, letters from
your psychologist, any health problems you currently have, after care help, travel, as well as cost.
Surgery on your genitals is a major surgery and can take time to heal properly.
One suggestion, is research, make a plan, eat well, get healthy and get your body ready for surgery, so it will heal fast and you will
get a with good results.
SURGERIES
To have certain surgeries, you will likely need a therapist letter or two stating that you are ready for surgery. Many surgeons
voluntarily follow the Harry Benjamin Standards of Care. (http://www.tc.umn.edu/~colem001/hbigda/hstndrd.htm.) For your
reference many find this site helpful Comparison of Male and Female Genitals (http://www.transgendercare.
com/surgical/genital_comparison.htm)
MTF (Male to Female) Surgery and Procedure Options.
FFS - Facial Feminization Surgery - Usually refers to facial surgery on the boney structures of the masculinized face to produce
a more feminine appearance. Three main areas are targeted. The brow bone protrusion, the nose and the chin or jaw. Other
common procedures in facial feminization include brow lift to open up eyes, scalp advancement to decrease forehead size, face lift,
eye lid procedures, cheek implants, fat removal or addition, and skin resurfacing techniques.
Facial Feminizing Surgery (FFS)
Photo's of women and links
http://beginninglife.com/FFS.htm
Facial Feminization Techniques
Description of the different procedures for FFS
http://www.virtualffs.co.uk/ffs%20techniques.htm
Facial Hair Removal - There are two methods generally used. Laser and electrolysis. Laser is attractive to most MTF's because
of the "quick" result. The truth is laser only works on those with dark hair and there is often need for further hair removal through
electrolysis. Laser is expensive and is done in several procedures over a 6 month period.
Electrolysis - Is the only complete and permanent removal of hair. To remove the beard will take about one and a half to two
years. This time frame is based on about 200 to 300 hours of treatment a for a medium beaded individual. I consider myself to be an
EX-Bearded fury beast =) I even had hair on my back which went away with the hormones. It took me about 500 hours. If you
have fair to little facial hair it may only take a total of 300 hours.
The way electrolysis work is more complicated than this but in general a small probe is inserted into the hair follicle and an electrical
charge is then given with the intent of killing the root of the hair. There are three stages to the life cycle of a hair follicle. so it may
look like nothing is being done when in fact it is. Sometimes it takes 2 and 3 treatments to fully kill the follicle. The first treatment
breaks it down and then it will grow again but much smaller this time. When treated again it will die or may grow in as a gray hair
which is easily killed the third time. Generally, a follicle cannot be properly destroyed during its resting phase. Almost half of the
beards hairs are in the resting phase at any time. The resting phase may last anywhere from 6 to 12 weeks
The blend method of electrolysis is preferred because of its high follicle kill rate with minimal skin damage. Proper use of
electrolysis machine by a qualified professional, should produce minimal damage or scaring.
Electrolysis can cost from 65 to 120 per hour.
Laser Hair Removal - Although they will tell you that it is permanent hair removal they have yet to perfect this method. It does
work well on hair that is in high contrast with the skin. For example black hair on white skin. The lighter the hair the less
effective. Laser will not work on red or gray hair in which you would need to seek out a well qualified electrologist. Like any
profession if you choose to try Laser make sure they are qualified as sever burning and scaring can occur.
Scalp Advancement - Men generally have larger foreheads than women so one method used to feminize the male forehead is to
remove a small section of skin between the hairline and brow. There is also chin, nose, cheek, lips, adams apple and eyes. Plastic
surgery has come a long way. A legend in this field is Dr. Douglas Ousterhout. His web-site is very detailed and contains a wealth
of information on FFS.
Vaginoplasty - Penile inversion. After castration, the patient's scrotal tissue is used to create labial folds, and head of the penis is
used to create a clitoris. A vagina is created using skin from the shaft of the penis and part of the scrotum. Prior
castration/orchiectomy is not advised for this procedure due to shrinkage of skin.
http://www.transgendercare.com/surgical/penile_inv/penile_inversion_proto.htm
Labiaplasty - This is usually done as a second procedure but there are Surgeons who do combine it with Vaginoplasty. I
personally liked the theory of letting that area heal first and then form the Labia Minora from the skin left over from the
vaginoplasty. You can visit Toby R Meltzer's web-site for more information.
Breast Augmentation - involves making a single incision in or near the breast and inserting the implant either between the breast
and the chest muscle (pectoralis major) or behind the muscle itself. The implant is most often placed behind the muscle.
The location of the incision depends on the surgeon's preferred method, your body type, and your personal preference. The most
commonly used incision for augmentation is in the crease under the breast , An incision may be made around the areola: The third
possibility, an incision under the arm, leaves the breast completely unscarred, http://www.transgendercare.
com/surgical/brst_augment.htm
Surgery Links for MTF
CAUTION very graphic, "I can feel the pain"!
Vaginoplasty
http://www.annelawrence.com/meltzersrs01.html
Labiaplasty
http://www.annelawrence.com/labiaplasty.html
FTM (Female to Male) Surgery and Procedure Options.
"Chest" surgery is the procedure option for most all FTM's. FTM genital surgery is controversial and gives inconsistent result. It is
difficult to make a working phallus and so many FTM's elect not to have genital surgery. Of those who do, they are often faced
with choosing either form or function or sensation or some combination of two. Options for genital surgery include use of the
resident clitoris to make a small working phallus, or the addition of phallus made of other body tissues, optional urethral hook up (to
stand and pee), formation of scrotal sac (from labia majora), and optional testicular implants.
Bilateral Mastectomy - Is the surgical removal of both breasts in an effort to make a masculine appearing chest. There are several
different techniques used to remove the breast tissue. The technique usually depends on the size of the breast, and the patients
choice. Prices begin at about $5000.
Hysterectomy - Is the surgical removal of the uterus, fallopian tubes, and ovaries. There are two or three different surgical
procedures used. These organs normally shrink as estrogen production stops. However, removal of these organs should be
considered since these organs are supported by estrogen which testosterone injections suppresses. In talking with FTM's, they
seem to have medical problems surrounding these organs if not removed.
Vaginectomy - Is the removal of the Vagina. It is controversial and has inconsistent result. The bladder or anal nerves can be
damaged in this procedure. An alternate procedure has been proposed, that opens one end of the vagina to the inside of the body
cavity and closes the outside opening. The purpose is to allow the fluids that the vagina normally produces to flow into the inside of
the body cavity where they will be absorbed.
Metoidioplasty - Or Meta is a procedure in which the patient's testosterone-enlarged clitoris is converted into an undersized, but
sensate, phallus. Urethral hookup is sometimes a separate procedure. Cost runs about $20,000.
Centurion - Is a modified Metoidioplasty where the round ligaments from the labia majora are added to the clitoris to increase
girth. This is a newer procedure so long term effects if any are not yet known.
Scrotalplasty - The formation of a scrotal sac from the existing labia majora.
Urethra Hookup - Is a surgical procedure where the existing urethra is extended into the neophallus (either metoidioplasty or
phalloplasty). The new urethra is harvested from other tissues in the body. The new urethra is "hooked up" to the existing urethra
to make it possible to pee while standing. There are often complications and inconsistent results that make this a controversial
procedure.
Phalloplasty - Is a surgical procedure in which a normal sized penis is constructed from tissues harvested from other areas of the
body. There are several kinds of phaloplasty some are listed below.
A Groin Flap Phallo - Uses a flap of skin taken from the lower abdominal wall to the middle of the back, to construct a phallus.
This procedure can have a penile prostheses and/or a urinary tract hook up.
Radial Arm Phalloplasty - A surgery in which a phallus is created from tissue removed from the patient's forearm. Skin, nerve
and blood vessels are harvested from the forearm. Tissue from the leg is grafted over the arm. This procedure has good result for
making a sensate normal sized penis. However, it leaves a large scar on the forearm and leg from donor areas. At about six months
another surgery is done to insert a silicone prosthesis to provide erections. Fees can run about $35,000.
Deltoid Flap Phalloplasty - Is a procedure similar to the radial Arm Phalloplasty, but uses the deltoid area as the donor site for
skin, nerve and blood vessels.
Abdominal Suitcase Pedicle Phalloplasty - This is the creation of a phallus using a "suitcase handle" pedicle flap, created on the
abdomen. The neophallus stays connected to the abdomen and drops down into place. Abdominal scars from hysterectomy can
create problems for this procedure. Costs can run $12,000 and up.
Surgery Links for FTM
Phalloplasty Hub
Listing of surgeons and surgeries with prices and photo's
http://www.ftmphallo.com/Home/ftmhome1.htm
THE T-MALE
FTM "BOTTOM", "LOWER" OR GENITAL RECONSTRUCTION SURGERY
Surgeons and surgeries with photo results.
http://www.thetransitionalmale.com/phalloentry1
SURGEONS
North American Surgeons - pdf
Sex Reassignment Surgeons for FTM - online
http://www.genderbridge.org/SEX%20REASSIGNMENT%20SURGEONS%20FOR%20MALE%20TO%20FEMALE%
20TRANSSEXUAL%20PEOPLE.htm
Price Compare the Cost of Plastic Surgery - online
http://www.chet-plasticsurgery.com/price.html
who choose not to have SRS (Sex reassignment surgery) or GRS (Gender confirming Surgery).
While we dream of being in the right bodies, our gender IS in our minds, it is our Soul and it is what defines us, our self identity.
We don’t need the surgery to prove to ourselves who we are. We know who we are and as such if a transgendered individual elects
to not have the surgery, that in no way changes the fact of who we are or how we should be treated or addressed.
Not all of us can afford GCS or have the courage to go under the knife. We are still human beings and deserve the right to live a life
free of harassment and fear.
For those of you that wish to have the surgery then please read on. There is a lot of information here and it is not always easy to
find a doctor you want. Don't be in a hurry, just to get the surgery done. Take time and research your decision carefully. There are
many things to consider. As you gather information on doctors and the surgeries they do, you should also speak to patients who
have actually had the surgery from that surgeon. Things to consider should include, appearance, function, sensitivity, letters from
your psychologist, any health problems you currently have, after care help, travel, as well as cost.
Surgery on your genitals is a major surgery and can take time to heal properly.
One suggestion, is research, make a plan, eat well, get healthy and get your body ready for surgery, so it will heal fast and you will
get a with good results.
SURGERIES
To have certain surgeries, you will likely need a therapist letter or two stating that you are ready for surgery. Many surgeons
voluntarily follow the Harry Benjamin Standards of Care. (http://www.tc.umn.edu/~colem001/hbigda/hstndrd.htm.) For your
reference many find this site helpful Comparison of Male and Female Genitals (http://www.transgendercare.
com/surgical/genital_comparison.htm)
MTF (Male to Female) Surgery and Procedure Options.
FFS - Facial Feminization Surgery - Usually refers to facial surgery on the boney structures of the masculinized face to produce
a more feminine appearance. Three main areas are targeted. The brow bone protrusion, the nose and the chin or jaw. Other
common procedures in facial feminization include brow lift to open up eyes, scalp advancement to decrease forehead size, face lift,
eye lid procedures, cheek implants, fat removal or addition, and skin resurfacing techniques.
Facial Feminizing Surgery (FFS)
Photo's of women and links
http://beginninglife.com/FFS.htm
Facial Feminization Techniques
Description of the different procedures for FFS
http://www.virtualffs.co.uk/ffs%20techniques.htm
Facial Hair Removal - There are two methods generally used. Laser and electrolysis. Laser is attractive to most MTF's because
of the "quick" result. The truth is laser only works on those with dark hair and there is often need for further hair removal through
electrolysis. Laser is expensive and is done in several procedures over a 6 month period.
Electrolysis - Is the only complete and permanent removal of hair. To remove the beard will take about one and a half to two
years. This time frame is based on about 200 to 300 hours of treatment a for a medium beaded individual. I consider myself to be an
EX-Bearded fury beast =) I even had hair on my back which went away with the hormones. It took me about 500 hours. If you
have fair to little facial hair it may only take a total of 300 hours.
The way electrolysis work is more complicated than this but in general a small probe is inserted into the hair follicle and an electrical
charge is then given with the intent of killing the root of the hair. There are three stages to the life cycle of a hair follicle. so it may
look like nothing is being done when in fact it is. Sometimes it takes 2 and 3 treatments to fully kill the follicle. The first treatment
breaks it down and then it will grow again but much smaller this time. When treated again it will die or may grow in as a gray hair
which is easily killed the third time. Generally, a follicle cannot be properly destroyed during its resting phase. Almost half of the
beards hairs are in the resting phase at any time. The resting phase may last anywhere from 6 to 12 weeks
The blend method of electrolysis is preferred because of its high follicle kill rate with minimal skin damage. Proper use of
electrolysis machine by a qualified professional, should produce minimal damage or scaring.
Electrolysis can cost from 65 to 120 per hour.
Laser Hair Removal - Although they will tell you that it is permanent hair removal they have yet to perfect this method. It does
work well on hair that is in high contrast with the skin. For example black hair on white skin. The lighter the hair the less
effective. Laser will not work on red or gray hair in which you would need to seek out a well qualified electrologist. Like any
profession if you choose to try Laser make sure they are qualified as sever burning and scaring can occur.
Scalp Advancement - Men generally have larger foreheads than women so one method used to feminize the male forehead is to
remove a small section of skin between the hairline and brow. There is also chin, nose, cheek, lips, adams apple and eyes. Plastic
surgery has come a long way. A legend in this field is Dr. Douglas Ousterhout. His web-site is very detailed and contains a wealth
of information on FFS.
Vaginoplasty - Penile inversion. After castration, the patient's scrotal tissue is used to create labial folds, and head of the penis is
used to create a clitoris. A vagina is created using skin from the shaft of the penis and part of the scrotum. Prior
castration/orchiectomy is not advised for this procedure due to shrinkage of skin.
http://www.transgendercare.com/surgical/penile_inv/penile_inversion_proto.htm
Labiaplasty - This is usually done as a second procedure but there are Surgeons who do combine it with Vaginoplasty. I
personally liked the theory of letting that area heal first and then form the Labia Minora from the skin left over from the
vaginoplasty. You can visit Toby R Meltzer's web-site for more information.
Breast Augmentation - involves making a single incision in or near the breast and inserting the implant either between the breast
and the chest muscle (pectoralis major) or behind the muscle itself. The implant is most often placed behind the muscle.
The location of the incision depends on the surgeon's preferred method, your body type, and your personal preference. The most
commonly used incision for augmentation is in the crease under the breast , An incision may be made around the areola: The third
possibility, an incision under the arm, leaves the breast completely unscarred, http://www.transgendercare.
com/surgical/brst_augment.htm
Surgery Links for MTF
CAUTION very graphic, "I can feel the pain"!
Vaginoplasty
http://www.annelawrence.com/meltzersrs01.html
Labiaplasty
http://www.annelawrence.com/labiaplasty.html
FTM (Female to Male) Surgery and Procedure Options.
"Chest" surgery is the procedure option for most all FTM's. FTM genital surgery is controversial and gives inconsistent result. It is
difficult to make a working phallus and so many FTM's elect not to have genital surgery. Of those who do, they are often faced
with choosing either form or function or sensation or some combination of two. Options for genital surgery include use of the
resident clitoris to make a small working phallus, or the addition of phallus made of other body tissues, optional urethral hook up (to
stand and pee), formation of scrotal sac (from labia majora), and optional testicular implants.
Bilateral Mastectomy - Is the surgical removal of both breasts in an effort to make a masculine appearing chest. There are several
different techniques used to remove the breast tissue. The technique usually depends on the size of the breast, and the patients
choice. Prices begin at about $5000.
Hysterectomy - Is the surgical removal of the uterus, fallopian tubes, and ovaries. There are two or three different surgical
procedures used. These organs normally shrink as estrogen production stops. However, removal of these organs should be
considered since these organs are supported by estrogen which testosterone injections suppresses. In talking with FTM's, they
seem to have medical problems surrounding these organs if not removed.
Vaginectomy - Is the removal of the Vagina. It is controversial and has inconsistent result. The bladder or anal nerves can be
damaged in this procedure. An alternate procedure has been proposed, that opens one end of the vagina to the inside of the body
cavity and closes the outside opening. The purpose is to allow the fluids that the vagina normally produces to flow into the inside of
the body cavity where they will be absorbed.
Metoidioplasty - Or Meta is a procedure in which the patient's testosterone-enlarged clitoris is converted into an undersized, but
sensate, phallus. Urethral hookup is sometimes a separate procedure. Cost runs about $20,000.
Centurion - Is a modified Metoidioplasty where the round ligaments from the labia majora are added to the clitoris to increase
girth. This is a newer procedure so long term effects if any are not yet known.
Scrotalplasty - The formation of a scrotal sac from the existing labia majora.
Urethra Hookup - Is a surgical procedure where the existing urethra is extended into the neophallus (either metoidioplasty or
phalloplasty). The new urethra is harvested from other tissues in the body. The new urethra is "hooked up" to the existing urethra
to make it possible to pee while standing. There are often complications and inconsistent results that make this a controversial
procedure.
Phalloplasty - Is a surgical procedure in which a normal sized penis is constructed from tissues harvested from other areas of the
body. There are several kinds of phaloplasty some are listed below.
A Groin Flap Phallo - Uses a flap of skin taken from the lower abdominal wall to the middle of the back, to construct a phallus.
This procedure can have a penile prostheses and/or a urinary tract hook up.
Radial Arm Phalloplasty - A surgery in which a phallus is created from tissue removed from the patient's forearm. Skin, nerve
and blood vessels are harvested from the forearm. Tissue from the leg is grafted over the arm. This procedure has good result for
making a sensate normal sized penis. However, it leaves a large scar on the forearm and leg from donor areas. At about six months
another surgery is done to insert a silicone prosthesis to provide erections. Fees can run about $35,000.
Deltoid Flap Phalloplasty - Is a procedure similar to the radial Arm Phalloplasty, but uses the deltoid area as the donor site for
skin, nerve and blood vessels.
Abdominal Suitcase Pedicle Phalloplasty - This is the creation of a phallus using a "suitcase handle" pedicle flap, created on the
abdomen. The neophallus stays connected to the abdomen and drops down into place. Abdominal scars from hysterectomy can
create problems for this procedure. Costs can run $12,000 and up.
Surgery Links for FTM
Phalloplasty Hub
Listing of surgeons and surgeries with prices and photo's
http://www.ftmphallo.com/Home/ftmhome1.htm
THE T-MALE
FTM "BOTTOM", "LOWER" OR GENITAL RECONSTRUCTION SURGERY
Surgeons and surgeries with photo results.
http://www.thetransitionalmale.com/phalloentry1
SURGEONS
North American Surgeons - pdf
Sex Reassignment Surgeons for FTM - online
http://www.genderbridge.org/SEX%20REASSIGNMENT%20SURGEONS%20FOR%20MALE%20TO%20FEMALE%
20TRANSSEXUAL%20PEOPLE.htm
Price Compare the Cost of Plastic Surgery - online
http://www.chet-plasticsurgery.com/price.html
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| Surgery |
Transgendered Soul
| Welcome to our Surgery Page. Here you will find a list the various types of surgeries available, a pdf of surgeons you can download, and a bit of friendly advice. |
| Thank you for visiting the Transgendered Soul International Website!! The Transgendered Soul (TGS) gives only general information relating to transition for individuals with gender disphoria or Intersexed condition. We are not responsible for what the individual does with that information. We do not suggest any results from the information provided here. Our purpose is to offer resources and encouragement to individuals suffering with these conditions in hopes of connecting them with resources useful to them and all aspects of their transition. The TGS will be held harmless from any results an individual gets from a provider or information located on this site. TGS does not engage in the practice of medicine or psychology, is not a medical or psychological authority, and does not claim medical or psychiatric knowledge. TGS recommends that you consult your own physician and psychologist regarding any course of treatment or medication. There are links to other web sites in various places through out our web site. TGS is not responsible for the content of other websites reached from links on our website. Use of this site and its information constitutes an agreement to these terms. |