Masculinizing surgeries are gender-affirming surgical procedures that create physical characteristics reflective of one’s gender identity and/or gender expression.
This information in this section is intended to assist surgical assessors in discussing gender-affirming surgery with patients and to ensure patients receive adequate information about the specific surgery they are seeking.
Chest surgery is a gender-affirming, masculinizing top surgery that removes breast* tissue and sculpts remaining tissue into a shape that is typically considered to be more masculine.
Hysterectomy with bilateral salpingo-oophorectomy are two gender-affirming, masculinizing lower surgeries. Hysterectomy is a surgical procedure to remove all or part of the uterus*, and sometimes the ovaries* and/or fallopian tubes*; a gender-affirming, masculinizing lower surgery. Oophorectomy is a surgery to remove the ovaries*; a gender-affirming, masculinizing lower surgery.
Metoidioplasty is a gender-affirming, masculinizing, lower surgery to create a penis and scrotum, done by cutting ligaments around the clitoris* to add length to the shaft, grafting skin around the shaft to create added girth, lengthening the urethra so one can urinate from the shaft, and creating a scrotum.
Phalloplasty is a gender-affirming, masculinizing, lower surgery to create a penis and scrotal sac (phase 1), then testicular implants and implants to obtain rigidity/erection (phases 2 and 3).