Previous slide
Next slide

Bottom Surgery

What is Bottom Surgery?

Bottom surgery refers to the gender-affirming surgical procedures that transform the genital regions of the body. For transgender men, this includes such procedures as the removal of the uterus and vagina as well as the construction of the penis. In transgender women, this includes the removal of the penis and testicles and the construction of a vagina. For other gender diverse individuals, bottom surgery includes nullification, creating a genital free transition from abdomen to groin.. Much like other gender-confirming surgeries, transgender bottom surgery has helped people worldwide live more authentically and comfortably in their bodies. In addition to the physical benefits, bottom surgery has proven crucial for the mental health of patients undergoing the procedure.

Bottom surgery at the Crane Center includes many specialized procedures to provide patients with either a more masculine or more feminine lower body. Every case is unique. Our bottom surgery specialists will work with you to determine the best options and procedures to maximize your results.

Types of Bottom Surgery

Transmasculine Bottom Surgery

Transmasculine bottom surgery, formerly known as FTM bottom surgery, includes numerous specialized procedures to transform the lower region of the body. This can include the removal of the vagina (vaginectomy) and the construction and attachment of a working penis (phalloplasty). Additional procedures are available for the creation of the scrotum (scrotoplasty) as well as an alternative to phalloplasty that involves releasing a hormonally enlarged clitoris (metoidioplasty). There are many variations available for each procedure, and all are optional. The bottom surgeons at the Crane Center will work with you to develop a plan that best fits your anatomy and desired results.

Learn more about our Transmasculine bottom surgery procedures.

Transfeminine Bottom Surgery

Transfeminine bottom surgery, formerly known as MTF bottom surgery, includes procedures to reconstruct the natal genitalia into female genitalia. The creation of a vagina (vaginoplasty) includes the construction of a vaginal canal, a labia and a clitoris. Surgeons at the Crane Center specialize in penile inversion vaginoplasty, the most common type of MTF bottom surgery, as well as other complex surgical techniques designed to maximize your results.

Learn more about our Transfeminine bottom surgery procedures.

Non-Binary Bottom Surgery

Bottom Surgery for non-binary individuals can include a range of procedures customized to fit your individual needs. Assigned female at birth (AFAB) and assigned male at birth (AMAB) individuals  have many options and our surgeons will work with you to create a unique plan to achieve your desired results. 

Learn more about our non-binary bottom surgery procedures.

Bottom Surgery Cost

Every bottom surgery procedure has unique costs and insurance coverage considerations. At the Crane Center, we have a team of insurance experts who will work to get your medically necessary surgery approved and appeal any insurance denials on your behalf. Learn more about transgender surgery insurance coverage and contact us to discuss your individual plan.

Bottom Surgery Frequently Asked Questions

Are there risks associated with bottom surgery? 

While long-term complications are rare, there are risks associated with healing times and the regaining of full sensation, especially with phalloplasty procedures. The bottom surgery specialists at the Crane Center are leaders in the field, with years of experience performing successful transgender bottom surgeries. Your surgeon will discuss potential risks and answer any questions when reviewing your individual plan. You will also be provided with pre and post-operative instructions to reduce any potential risks from your procedure.

Is bottom surgery covered by insurance? 

The majority of bottom surgery procedures are covered by insurance. When you register as a new patient, the Crane Center’s insurance team will verify your insurance benefits and, following your initial consultation, create a plan listing estimated coverage and out-of-pocket costs.

Is hormone therapy required for bottom surgery? 

Hormone therapies can help prepare your body for surgery but they are not required.

Associates at the Crane Center are available to answer additional questions about bottom surgery procedures. Contact one of our clinics to learn more.

We acknowledge that terminology regarding transgender identities is evolving. We are committed to staying informed and using accurate terminology and inclusive language as determined by the individual themself.

Warning !

This website contains graphic images. By continuing to our website, you agree that you are 18 years old or above.