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 While the term “FTM” is generally considered to be outdated, we use it out of recognition that trans men and transmasculine non-binary folks search for this term for information on surgical transition.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 …

Understanding Chest Dysphoria in Transmasculine People: A Guide for Curious Cisgender Allies Written and medically reviewed by Dr. Scott Mosser on January 27, 2025. As a surgeon in the field of gender care, I hold the conviction that we serve our patients––in consultations, on the day of surgery or in post-operative check-ups. These are not times for patients to educate us as providers. Certainly, we must practice active listening to understand our patients’ unique goals, needs and concerns. As providers and allies, we need to find the time and space to learn about and sensitize ourselves to the experiences of the individuals we support. This article is meant to serve …

How to Pay for Facial Feminization Surgery Medically reviewed by Jennifer Richman on January 17, 2025. Understanding Facial Feminization Surgery Costs Facial feminization surgery (FFS) refers to a collection of procedures that reshape the face’s bone and/or soft tissue to help a patient experience greater gender alignment with their facial features. Common procedures include the brow bone reduction, the hairline advancement, and the tracheal shave. For many patients who seek out FFS, understanding the cost of these surgeries can be overwhelming. Depending on the number of procedures, FFS can cost anywhere from $4,500 to $100,000 for patients paying out of pocket. Insurance coverage can drastically reduce the cost of this …

Jawline Augmentation: Facial Masculinization Surgery Medically reviewed by Jennifer Richman on December 16, 2024. Understanding Jawline Augmentation A mandibular or jawline augmentation is a surgery that increases the size of the jawline, giving it a more defined and angular appearance. This is typically an outpatient procedure, which means that it is performed under general anesthesia and patients are usually sent home the same day after surgery, unless this procedure is combined with other facial or body procedures, which may require an overnight stay. Recovery involves rest, dietary changes, pain and inflammation care. The placement of jawline implants leaves no visible scars, though patients will need up to 12 months to …

Metoidioplasty and Phalloplasty: Options for Masculinizing Bottom Surgery Written by Giovanna D’Ambrosio. Medically reviewed by Ellie Zara Ley, MD on February 6, 2024. Transmasculine and Nonbinary individuals can sometimes feel a sense of incongruence with their natal genitalia–meaning the genitalia that they were born with. This feeling is frequently referred to as bottom dysphoria, and influences how trans-masculine people move through the world. Some patients express that these feelings are particularly distressing in moments of intimacy or while using the bathroom. Masculinizing techniques for bottom surgery, also known as “FTM” bottom surgery can help alleviate these feelings. The two methods available are metoidioplasty and phalloplasty, often referred to as “meta” …

Top Considerations When Selecting a Facial Feminization Surgeon Medically reviewed by Jennifer Richman on December 2, 2024.  Understanding Facial Feminization Surgery Facial Feminization Surgery (FFS) is a gender-affirming surgery designed to help trans women, transfeminine and non-binary patients feel more aligned with the apperance of their face. Each FFS procedure is unique to a patient’s goals, existing facial features and other limitations like finances or insurance coverage. During a consultation with a board-certified facial feminization surgeon, you can make an individualized plan for your procedure and have all of your questions answered.  Generally speaking, FFS refers to a menu of procedures that patients can choose from: Hairline advancement: reverses the …

A Comprehensive Guide to Bottom Surgery Costs Medically reviewed by Nicole M, RN on October 15, 2024. Bottom surgery refers to procedures that reconstruct an individual’s natal genital tissue to relieve gender dysphoria and allow them to experience greater gender congruence. The overall costs of surgery––the procedure itself, the preparations for surgery, the time off work needed to recover and more––often comprise the greatest barrier to medically necessary gender-affirming surgery. This guide gives a comprehensive overview of the costs of what some call FTM bottom surgery (metoidioplasty, phalloplasty, etc.) and MTF bottom surgery (vaginoplasty, vulvaplasty and labiaplasty), insurance coverage, as well as grant and financing resources. What influences the cost …

Administrative Assistant The Gender Confirmation Center strives to have the best and most innovative service level in the field of medicine.  We believe that the standard of service in transgender and non-binary healthcare can sometimes be quite low, but we have built the tools and systems to change that for the better.  If you are interested in working in transgender healthcare, are naturally drawn toward service and want to be a part of an intelligent, energetic type environment, then this is a good fit for you. The Administrative Assistant must possess excellent customer service and communication skills and a high level of maturity, and also must be a strong a …

Information available for transgender or gender fluid individuals who are uncomfortable with their breasts and considering top surgery.

Many transitioning women consider breast augmentation to be a central step in the transitioning process, and this is a place to start.