Men’s health and transgender surgery: a urologist’s perspective

Genital gender confirming surgery (GCS) offers a wide array of options for people who identify as either transgender or gender non-conforming. The most commonly selected options include creation of a neovagina (male to female, MtF) or a neophallus (female to male, FtM). GCS is somewhat unique among other urologic procedures in that for patients the product of the reconstruction is such a radical departure with respect to each patient’s sense of “self” related to their genitals since birth, and, for the fact that the product of the reconstruction is in such plain view.