Chest construction is a gender-affirming, upper body surgery that removes unwanted chest (breast) tissue and sculpts the remaining tissue into a flatter shape. Chest construction is a term that refers to both chest reduction surgery (procedure to reduce the amount of chest tissue) and full bilateral mastectomy

Clitoral release is a gender-affirming, lower body surgery that creates a penis by cutting ligaments around the erectile tissue (clitoris) that has been enlarged by testosterone to release it from the pubis and give the shaft more length (4 to 6 cm). A scrotum can be created from the labia. Testicular implants can be inserted in the scrotum in a separate surgery, months later. 

Hysterectomy with bilateral salpingo-oophorectomy are two gender-affirming lower body surgeries. Hysterectomy removes all or part of the uterus and sometimes the reproductive organs (ovaries or fallopian tubes). Oophorectomy removes one or both of the ovaries. 

Metoidioplasty is a gender-affirming lower body surgery that creates a penis by cutting ligaments around the erectile tissue (clitoris) to release it from the pubis and give the shaft more length (4 to 6 cm). 

Phalloplasty is a gender-affirming lower body surgery that takes place over multiples surgeries. These procedures create a penis and scrotal sac, testicular and penile implants.