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Vagina-preserving phalloplasty

This medical option is a kind of bottom surgery that involves the creation of a phallus while keeping the vagina.

Many transmasculine and gender diverse people who are interested in this identify as part of the salmacian community. People have different reasons for choosing this option, including preserving their reproductive options, aesthetic reasons, sexual reasons, or other personal reasons.

Some people opt instead for a vagina-preserving metoidioplasty.


note: links may contain images of surgery and genitals

reddit (

Align Surgical Associates (

Crane Center (

Mexico Transgender Center (

  • Ivan Aguilar

Keelee MacPhee (

MoZaic Care (

  • Heidi Wittenberg
  • Adam Bonnington


  • Daniel D. Dugi III
  • Geolani Widjaja Dy

Marin Health (

Historic/dormant resources

Phallo Diary (