Sex Affirmation Surgery – From a Woman to a Man

Sex affirmation surgery - changing a woman into a man. (Credit: rt69)

When a woman wants to change into a man by having sex affirmation surgery, the person will have to undergo a double mastectomy – a procedure by which, breasts will be removed and the chest will be reshaped to bring about a masculine look. Apart from a hysterectomy to remove the uterus, hormone treatments are done for the growth of a beard.

There are two types of bottom surgery: metiodeoplasty and phalloplasty. The first is metiodeoplasty. In this, the clitoris is released from its hood and the urethra is lengthened with the labia minor to end at its tip. Hormones increase the size of the clitoris and the surgery results in what appears to be a small penis.

The labia major are united to form a scrotum where prosthetic testicles can be inserted. This surgery is much simpler than full-scale phalloplasty and has fewer complications. Surgery lasts for 1-2 hours versus the 8-10 hours needed for phalloplasty.

In phalloplasty tissue from the inner labia is rolled up with part of it forming the new urethra andit is grafted to its new place between the thighs. Sensation is retained in the clitoris, which is now at the base of the neo phallus. Often a large nerve in the graft is connected to nerves either from the clitoris or nearby nerves. Nerves from the graft and the tissue have been attached to, usually connect after a while and bring back sensation.