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Sex reassignment surgeries are among the most popular surgeries to receive abroad, with many patients travelling to countries such as Thailand, where the cost can be drastically lower. There are two types of surgeries that can create a new penis for a female. These are phalloplasty and metoidioplasty.

Beyond from the construction of a new penis, a complete female to male sex reassignment usually includes other operations such as mastectomy (removal of the breasts) and chest reconstruction; hysterectomy, which is the removal of the uterus; vaginectomy, which is the removal or closure of the vagina; oophorectomy, or removal of the ovaries; and scrotoplasty, or the creation of a new scrotum. As with phalloplasty and metoidioplasty, these other surgeries can also be received at a lower cost on foreign countries.

How Does Female-to-Male Sex Reassignment Surgery Work?

During a phalloplasty procedure, donor skin is taken from another site on the body, such as the arm, chest, leg, or pubic area. During surgery, the urethra is extended, nerves are connected to the preexisting clitoris, and everything is enclosed in the donor skin. There is usually also an erectile prosthesis implanted, though this is most often done in a separate surgery. The recovery time for a phalloplasty is relatively long. You'll have to stay in the hospital for about two weeks, and you can return to work in four to six weeks. Strenuous activity can be resumed after six to eight weeks.

Metoidioplasty differs from phalloplasty in that instead of creating a whole new penis, the preexisting clitoris is enlarged and moved forward to serve as a penis. Two years or more of testosterone therapy is needed to grow the clitoris to up to two inches long. When the patient is ready for operation, the surgeon separates the clitoris from the labia minora and severs a suspensory ligament to move it to the approximate location of a natural penis. Metoidioplasty is a less-invasive surgery than phalloplasty, and you can return to work three to four weeks afterward.

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