Transgender bottom surgery

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 their bodies so they can’t make children.

  • † Orchiectomy (castration or removal of testicles)
  •  Vaginoplasty (creation of a vagina)
  •  Vulvoplasty (creation of a vulva without a vagina)
  • 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 their bodies so they can’t make children.

  • Hysterectomy (removal of uterus)
  • Salpingectomy (removal of fallopian tubes)
  • Oophorectomy (removal of ovaries)
  • 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