Metoidioplasty cost effective FTM

Dear Reed,

Have had top surgery and am giving consideration to bottom surgery, metoidioplasty vs. phalloplasty.  Can I have phalloplasty later on as a continuation procedure.


Dear Scott,

This is a cost containment plan as complete phalloplasties to include a stand to void result, and a penile implant, should you consider being sexually active in this way is well over 75,000 in the US, certainly less expensive in Europe.  Please look at some of our metoidioplasty photos and testicular implants on   There is are a good number of metoidioplasties that are performed in  the US by experienced surgeons with acceptable results.  Clitoral enlargement is produced by male hormones, so don’t rush into that until you have substantial length and girth.

Regardless of which procedure you choose, beforehand you should have a total bilateral salpingo-oophorectomy and laparoscopically assisted total hysterectomy, and following that a col[pocleisis which we do.

Colpocleisis is obliteration of the vaginal cavity with obliteration of the vagina cavity with removing the vagina itself.  This bypasses the risk of injuring adjacent structures such as the urethra and rectum.when a total vaginectomy is performed.

Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami




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