Exploring Gender Reassignment Surgery Female to Male and FTM Bottom Surgery

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Gender reassignment surgery female to male, also known as sex reassignment surgery or gender confirmation surgery, is a transformational medical treatment that plays an essential role in the gender transition process. Gender reassignment surgery allows people who were assigned female at birth but identify as male to match their physical attributes with their gender identity. This guest blog will look at the path of female-to-male (FTM) gender reassignment surgery, explicitly focusing on FTM bottom surgery.

Understanding Gender Reversal Surgery Male to Female:

Gender reassignment surgery female to male is a set of surgeries used to establish masculine physical characteristics in people transitioning from female to male. The idea is to make people feel more at ease and adjust to their natural gender identity. FTM gender reassignment surgery usually consists of three major components:

Chest Reconstruction: Also known as “top surgery,” chest reconstruction includes eliminating breast tissue to produce a more masculine chest shape. To obtain a flatter and more manly chest look, a double mastectomy and nipple grafting may be required.

Hormone Therapy: Hormone therapy is commonly used before FTM gender reassignment surgery. Testosterone hormone treatment promotes the development of male secondary sexual traits such as facial hair growth, voice deepening, and muscular development.

Genital Reconstruction: Genital reconstruction, sometimes known as “bottom surgery,” tries to rebuild male genitalia near the natural male anatomy as possible. Phalloplasty and metoidioplasty are two alternatives for FTM bottom surgery.

Bottom FTM Surgery:

The goal of FTM bottom surgery is to create masculine genitalia. FTM bottom surgery involves two significant procedures:

Phalloplasty: A neophallus is constructed using a donor tissue graft, often from the forearm or thigh. The neophallus is then surgically connected, and other operations to produce a urethra for urine and sexual pleasure may be undertaken.

Metoidioplasty: Metoidioplasty releases the clitoral hood and ligaments to improve the visibility and functionality of the clitoris, which has naturally been prolonged due to testosterone hormone treatment. The treatment may also include urethral lengthening and scrotoplasty to produce a scrotum.

It is vital to highlight that FTM bottom surgery is a complicated and highly individualized procedure. Individual preferences, anatomical factors, and the surgical team’s competence all influence which techniques are used. It is critical to consult with skilled surgeons specializing in gender reassignment surgery to guarantee tailored treatment, informed decision-making, and the best outcomes.

Gender reassignment surgery female to male, particularly FTM bottom surgery, is a life-changing adventure beyond physical transformation. It allows people to match their bodies with their genuine gender identification, which may considerably improve their general well-being, self-confidence, and quality of life. However, it is critical to approach gender reassignment surgery cautiously, obtaining help from mental health specialists, gender-affirming healthcare practitioners, and support networks throughout the process.

The cost of female-to-male (FTM) gender reassignment surgery, which includes both top and bottom surgery, varies based on several factors, including the precise treatments selected, the surgeon’s expertise, the geographical location, and the intricacy of the individual case. Gender reassignment surgery female to male usually costs around 13000 USD in India, whereas it can cost up to 40000 USD or more in the United States. These values are estimations and might vary greatly depending on individual situations. It is critical to consult with skilled surgeons and healthcare experts to obtain accurate cost estimates and ensure tailored treatment throughout the surgical journey.


Gender reassignment surgery, particularly FTM bottom surgery, is essential to the gender transition process for people born female but identified as male. Chest reconstruction, hormone treatment, and genital reconstruction are surgeries that can help people reach a more congruent and authentic sense of self. Individuals who embrace the experience of gender reassignment surgery might discover empowerment and live genuinely, embracing their actual selves.

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