Transmasculine Options

This page includes the following

• Types

• Surgeons

Types

Vaginectomy

• The removal of the vaginal canal.

Hysterectomy 

• The removal of the uterus. Often, you may hear this referred to as either a "full" or "partial" hysterectomy. "Full" hysterectomies include the removal of the ovaries and Fallopian tubes, two procedures known as oophorectomy and salpingectomy, respectively.

Bilateral Salpingectomy

• The removal of the Fallopian tubes. This is a common sterilization procedure.

Oophorectomy

• The removal of the ovaries. Many do not opt for an oophorectomy with their hysterectomy because it would mean the cessation of hormonal production. This would mean that if you were made to no longer have access to hormones, you could be placed in a really life-threatening situation where your body is producing literally no hormones.

Scrotoplasty

• The creation of a scrotum. This is often accompanied by the insertion of testicular implants, which are either saline-filled or silicone-filled (not silicone gel, but solid silicone).

Metoidioplasty

• This converts the clitoris into a phallus by severing the ligaments connecting it to the pubic bone, generally after the clitoris has been enlarged as a result of hormone replacement therapy, specifically with testosterone. This release allows the phallus to point forward when erect instead of merely pointing downward. This release, called "simple metoidioplasty," can be further supplemented by vaginectomy (removal of the vaginal canal) and by urethral lengthening (rerouting it through the phallus).

Phalloplasty

• This is the construction of a phallus, generally facilitated by a skin graft being taken from elsewhere on one's body, usually one's forearm. 

Urethral Lengthening

• This often accompanies metoidioplasty and phalloplasty. This is the rerouting and lengthening of the urethra.

Surgeons

• Mt. Sinai — Jess Ting and Bella Avanessian are two surgeons that perform bottom surgery at Mt. Sinai. Dr. Elan Horesh conducts transmasc top surgery at Mt. Sinai as well! One person stated having a consultation with him in early May and then having a surgical date set for the end of August of the same year.

• NYU Langone — Rachel Bluebond-Langner is the main bottom surgeon at NYU Langone. 

• Papillon Center - Christine McGinn is a bottom surgeon in Philadelphia who several students have gone to and been able to access reimbursement for from Yale Health. She also does transmasculine bottom surgery.

• East Coast Advanced Plastic Surgery - Dr. Jonathan Keith is a surgeon in New Jersey who was under the understanding that he had been considered an in-network provider for Yale for transmasculine bottom surgery.