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The Evolution and Future of Metoidioplasty Surgery

Past, Present and Future Innovations

Looking back at the origins of Metoidioplasty and forward to its surgical future, this deep dive traces how a once-niche procedure is being transformed by global innovation, from early urethral techniques in Japan to recent breakthroughs in Iran, the U.S., the Netherlands and Brazil. More ยป

Metoidioplasty Explained

Metoidioplasty Metoidioplasty is a gender-affirming surgery that creates a small-sized phallus using existing genital tissue. Metoidioplasty is a good option for those with sufficient clitoral growth from being on testosterone hormone replacement therapy. It's a less invasive and more affordable surgery than Phalloplasty. Average penis length from a "Meta" is 1.5-2 inches.

How Metoidioplasty Works: Hormone Replacement Therapy, in the form of Testosterone and Dihydrotestosterone (DHT), gradually enlarges the natal clitoris, which is analogous to the penis. Metoidioplasty surgery involves cutting the surrounding labial tissues, and in some cases the suspensory ligament, to "free up" and reposition the clitoris in a more forward position, to more closely approximate the position of a penis. Complimentary procedures are optional, such as Vaginectomy, Urethral Lenghtening, Scrotoplasty and testicular implants.

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Semirigid Implant for Meta

ZSI 100 D4 Semirigid Implant for MetoidioplastyThe ZSI 100 D4 semirigid implant represents a potentially valuable option to enhance metoidioplasty outcomes by preserving length, adding rigidity, and improving urinary function. Learn more about this specialized implant and how it works.

Non-Binary Options for Metoidioplasty

Non-Binary Options for MetoidioplastyHistorically, gender-affirming bottom surgery has been binary in nature: Female to Male or Male to Female. However, there's an increasing number of surgeons who offer an individualized approach to Metoidioplasty that's proving appealing to non-binary people seeking bottom surgery.

Below the Belt: Genital Talk by Men of Trans Experience

Below the Belt: Genital Talk by Men of Trans ExperienceIf you're curious about what trans guys think about their junk in the context of gender transition, you'll definitely want to pick up a copy of Below the Belt!

Dr. Mang Chen

Dr. Mang Chen

Reconstructive Urologist in San Francisco who is one of the most experienced Metoidioplasty surgeons in the country.

Dr. Christopher McClung

Dr. Chris McClung

Reconstructive Urologist with deep expertise, dedicated to gender-affirming surgical care, based in Ohio.

Map of Metoidioplasty Surgeons
Dr. Curtis Crane

Dr. Curtis Crane

Pioneering Gender Surgeon in Texas who has performed hundreds of Metoidioplasties.

Dr. Kenan Celtik

Dr. Kenan Celtik

Reconstructive Urologist who works exclusively with trans/NB patients in San Francisco.