Sex Reassignment Surgery Female to Male (FTM)

Genital Alterations

Undergoing sex reassignment surgery female to male (FTM) involves quite a few options. The major areas that surgery can change include the look of the face, the chest and the genitals. The facial surgeries generally involve changing the shape of the nose, cheeks, chin and forehead to make the head take on a more masculine shape.

With regard to the breasts, sex reassignment surgery female to male (FTM) involves a mastectomy, followed by reshaping the chest in some cases so it takes on more masculine contours. For those who undergo genital alteration, most patients begin with a hysterectomy. Some ask for a hysterectomy that also removes the ovaries as they need to get rid of female sex organs to fulfill their personal identity.

Regarding the genitals, the surgeon creates a “neophallus” in one of two ways. One procedure uses hormones to increase the clitoris to a size of about two inches before performing surgery to make it the new phallus. The other procedure involves wrapping a prosthetic device in tissue from the arm or other body parts. This procedure allows for more successful sexual penetration. Finally, the surgeon lengthens the urethra so that the patient can urinate while standing up after the surgery has taken place.

While the surgery involved with a female to male (FTM) transformation is costly, for many patients it is worth the expense to live within their sexual identity. The fact that the Affordable Care Act has mandated that insurers cover transgender procedures for policyholders means that the huge costs of the past will no longer affect new patients. To find reviews about transgender surgeons in your insurer’s network, visit You’ll also find more detailed information about the entire process.

For more information, click here to search for a gender reassignment surgeon.