In plastic and reconstructive surgery, when we talk about the number of procedures required to reach a certain goal, and how much time is required between procedures, we are talking about staging. Please note that metoidioplasty by itself is a single stage. Depending on the additional associated procedure(s) a patient wants to get with a meta, there may be a need for additional surgeries to be performed at later dates. Likewise, any patient that undergoes a metoidioplasty can eventually get a phalloplasty performed in the future if they choose.