The duration of the inverted T top surgery procedure can vary depending on the individual’s anatomy and the extent of tissue removal required. On average, the surgery typically takes 2 to 4 hours.

Dr. Scott Mosser (he/him) is a board-certified plastic surgeon who has over 15 years of experience serving gender diverse patients. He has devoted himself exclusively to gender affirming care since founding the GCC in 2013. Dr. Mosser is also a cofounder of the American Society of Gender Surgeons (ASGS), a member of the American Society of Plastic Surgeons (ASPS), the World Professional Association of Transgender Health, (WPATH), the United States Professional Association of Transgender Health (USPATH), and is a Fellow of the American College of Surgeons (FACS).

Dr. Scott Mosser (he/him) is a board-certified plastic surgeon who has over 15 years of experience serving gender diverse patients. He has devoted himself exclusively to gender affirming care since founding the GCC in 2013. Dr. Mosser is also a cofounder of the American Society of Gender Surgeons (ASGS), a member of the American Society of Plastic Surgeons (ASPS), the World Professional Association of Transgender Health, (WPATH), the United States Professional Association of Transgender Health (USPATH), and is a Fellow of the American College of Surgeons (FACS).

Dr. Alexander Facque (he/him) is a board-certified plastic surgeon and proud member of the LGBTQ+ community. Dr. Facque got his start in gender-affirming care as a resident at the Icahn School of Medicine at the Mount Sinai Medical Center in New York, where he first recognized the importance of providing safe and accessible surgeries to trans and non-binary patients. He then spent a year training and expanding his knowledge under Dr. Loren Schechter, one of the world’s foremost gender-affirming surgeons, as a fellow at Weiss Memorial Hospital’s Gender Confirmation Surgery and Practice Leadership in Chicago. Dr. Facque officially joined our team in 2020 and brought with him over 5 years …

Dr. Scott Mosser (he/him) is a board-certified plastic surgeon who has over 15 years of experience serving gender diverse patients. He has devoted himself exclusively to gender affirming care since founding the GCC in 2013. Dr. Mosser is also a cofounder of the American Society of Gender Surgeons (ASGS), a member of the American Society of Plastic Surgeons (ASPS), the World Professional Association of Transgender Health, (WPATH), the United States Professional Association of Transgender Health (USPATH), and is a Fellow of the American College of Surgeons (FACS).

As a former patient herself, Dr. Ley has an insider’s perspective on the importance of getting your bottom surgery results right. She is sought after in the transgender community to revise bottom surgeries for medical complications and/or aesthetic motives. If you are interested in undergoing surgery with Dr. Ley, you can schedule a free, virtual consultation with her here. The most common complications associated with these procedures–like urinary fistulas and wound opening–will resolve on their own with at-home treatments. Frustratingly, they may delay the amount of time required to heal.

With both surgeries, a patient can undergo a variety of additional procedures. For example, you can get a mons resection and/or panniculectomy to remove excess fat and skin in the upper pubic area, making the penis more visually apparent. Likewise, Dr. Ley can construct a scrotum and insert silicone testicular implants if a patient would like.

If maximizing the size and girth of the penis is a priority for the patient, the forearm flap and thigh flap phalloplasties have the greatest potential. Groin flap phalloplasties usually create a penis in the range of 3-5 inches of length. Metoidioplasty results are comparatively smaller because the natal penis (or clitoris) is merely released.

Some metoidioplasty patients report that they are able to have penetrative sex with their penis. Many of these patients will use a penis pump to enlarge their results and facilitate penetrative sex. Patients should wait at least 3 months after surgery before using a penis pump.

For both procedures, we recommend that patients wait at least three months before they try to stimulate (orally or manually) their penis, especially if a urethral lengthening is performed. By this time, you can begin exploring your new genitals to see how you can reach an orgasm. A metoidioplasty simply releases the natal penis (or clitoris) from its surrounding ligaments. This means there is virtually no risk of sensation loss since the nerves will not be touched during surgery. A groin flap phalloplasty gives the penis a regular tactile sensation as opposed to heightened, erotic sensation. With both a forearm and thigh flap phalloplasty, the nerve of the donor site can be …