Some people choose surgery for their hips, waist, and genitals as part of a gender transition. This is called bottom gender confirmation surgery.
For women and transfeminine people
Some of the bottom surgery choices for women and transfeminine people are:
† These genital surgeries will change your body so you can not make children.
- † Orchiectomy (castration or removal of testicles)
 - † Vaginoplasty (creation of a vagina)
 - † Vulvoplasty (creation of a vulva without a vagina)
 - Labiaplasty (creation of labia majora and labia minora)
 - Liposuction and fat transfer
 - Gluteal augmentation (buttock implant)
 - Hip and thigh augmentation
 
For men and transmasculine people
Several options are available for men and transmasculine people, who may undergo some, all, or none of these procedures.
† These genital surgeries will change your body so you can not make children.
- † Hysterectomy (removal of uterus)
 - † Salpingectomy (removal of fallopian tubes)
 - † Oophorectomy (removal of ovaries)
 - † Vaginectomy (or colpectomy/colpocleisis, removal of vagina)
 - Phalloplasty (creation of a penis via skin graft)
 - Metoidioplasty (creation of a penis with existing genital tissue)
 - Liposuction (fat removal) and fat transfer
 - Leg augmentation