MTF bottom surgery, what may I expect

Dr. Reed, Am a transgender woman seeking MTF bottom surgery. What may I expect (preparation, cost, afterwards).  Aiesha

Dear Aiesha,

MTF transgender bottom surgery preparation usually includes living as a woman 24/7 for 2 years and typically on hormones (estrogens and testosterone blockers) for that period of time as well.  You must be a surgical candidate meaning no serious medical contraindications including acceptable height weight proportions.  A one time consultation fee of 250 provides for many telephone calls, Email exchanges, opening a folder for you, review of your letters of therapy clearance (one needs to be written by a therapist with a doctoral degree), review of lab work, medical clearance, and a pre-op consultation at our office.

Surgery includes a one-stage penile inversion technique with scrotal graft vaginal depth extension as needed, penectomy and orchiectomy.  Please visit our web-site  (scroll down) for before and after MTF transgender pictures.  Call Anne at the office for an  price quote.

Post-op your vaginal packing is removed in 1 week, and you’ll commence with vaginal dilation as a way of life.  The urinary catheter is removed on the 12th post op day.  You will need to use a ring or U-shaped pillow when seated for about 4 to 5 weeks. Sutures are removed 2 weeks after surgery.  You could return to an office environment about 3 weeks after surgery.


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

Example #1: Male to Female Transsexual Surgery

After picture MTF bottom surgery  (patient of Dr. Reed)


After picture MTF bottom surgery  (patient of Dr. Reed)

Example #2: Male to Female Transsexual Surgery Note clitoral hood, glans, and sulci. Ample introitus is confirmed by passage of our largest stent.

After picture MTF bottom surgery  (patient of Dr. Reed)

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