A Comprehensive Guide to MTF Bottom Surgery Medically reviewed by Jennifer Richman on July 2, 2025. What is MTF Bottom Surgery? Male-to-female (MTF) bottom surgery is a term that refers to a series of gender-affirming genital reconstruction procedures that remove natal genital tissue, such as the testicles and penis, and construct organs such as a vulva and/or vagina. Feminizing bottom surgery can include an orchiectomy, vaginoplasty, vulvaplasty or vulvoplasty, and labiaplasty, amongst other procedures. “MTF” is widely considered an outdated term. Still, we use the term “MTF” in this article out of the recognition that many patients use it to search for information about these surgeries. The primary goals of …

The Definitive Guide to FTM Bottom Surgery Medically reviewed by Jennifer Richman on July 2, 2025. What is FTM Bottom Surgery? Female-to-male (FTM) bottom surgery refers to procedures that alter the external and internal reproductive organs. “Masculinizing” bottom surgery procedures for trans and non-binary individuals include metoidioplasty, phalloplasty, and others such as vaginectomy, mons resection, scrotoplasty, hysterectomy, and more. While the term “FTM” is generally considered to be outdated, we use it out of recognition that trans men and transmasculine non-binary folks search for this term for information on surgical transition. Regardless of your identity, if you are interested in any of the bottom surgery procedures listed below, you can …