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Bottom surgery refers to any form of gender confirmation surgery which affects the genitalia and reproductive organs. Bottom surgery may be a part of medical transition.

Common forms of bottom surgery include:

  • Penectomy - removal of the penis.
  • Orchiectomy - removal of one or both testicles.
  • Vaginectomy - removal of the vagina.
  • Hysterectomy - removal of the uterus.
  • Oophorectomy - removal of one or both ovaries.
  • Vaginoplasty - construction of a vagina and vulva. One common method for this is penile inversion, in which tissue from the penis is used to construct the vagina.
  • Metoidioplasty - separation of the clitoris (enlarged from HRT) from the labia minora to produce a penis.
  • Phalloplasty - construction of a penis from non-genital tissue.

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