Masculinizing genital reconstruction.
A comprehensive, patient-centered approach to bottom surgery — combining advanced surgical expertise with compassionate care across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
A transformative step in your journey
FTM bottom surgery encompasses procedures that reshape genital anatomy to create a masculine appearance and function.
Bottom surgery is a deeply personal and affirming step for many transmasculine and non-binary individuals. Procedures include phalloplasty, metoidioplasty, scrotoplasty, hysterectomy, and urethral lengthening — each tailored to your anatomy, goals, and priorities.
Every plan is built collaboratively, respecting your identity and comfort. Our surgeons follow internationally recognized, WPATH-aligned standards to ensure safe, ethical, and natural-looking outcomes with comprehensive follow-up care.
What bottom surgery can mean for you
More than an anatomical change — a meaningful step toward comfort, confidence, and self-recognition.
Affirming anatomy
Genital reconstruction that aligns your body with your identity, creating lasting comfort and self-recognition.
Improved well-being
Patients consistently report meaningful improvements in confidence, intimacy, and overall quality of life.
Refined aesthetics
Natural-looking contours and proportions tailored to your anatomy and personal goals.
Functional outcomes
Surgical options designed to support standing urination, sensation, and sexual function when desired.
Staged or comprehensive
Procedures can be performed individually or combined into a personalized surgical plan.
Technique tailored to you
The surgical approach is matched to your anatomy, goals, and priorities for the best possible outcome.
Bottom surgery options
Your surgeon will recommend the approach best suited to your anatomy, goals, and priorities.
Phalloplasty
- Indications
- Patients seeking a full-size neophallus with the potential for standing urination and sexual function.
- Advantages
- Creates a sensate, functional penis using donor tissue from the forearm, thigh, or other sites.
- Ideal candidates
- Patients prioritizing size, function, and a complete masculine genital appearance.
Metoidioplasty
- Indications
- Patients with clitoral growth from testosterone seeking a smaller, naturally erect neophallus.
- Advantages
- Uses native tissue, preserving excellent sensation and offering a quicker recovery with minimal scarring.
- Ideal candidates
- Patients prioritizing sensation and a less invasive procedure over maximum size.
Scrotoplasty
- Indications
- Patients wanting creation of a scrotum, alone or alongside other bottom surgeries.
- Advantages
- Constructs a natural-looking scrotum that can later accommodate testicular prostheses if desired.
- Ideal candidates
- Patients seeking scrotal creation to complete their masculine genital anatomy.
Hysterectomy
- Indications
- Patients seeking removal of the uterus as part of their gender-affirming care.
- Advantages
- Ends menstruation, reduces dysphoria, and can simplify hormone management when combined with oophorectomy.
- Ideal candidates
- Patients wanting an affirming step that may also be prerequisite to other bottom surgeries.
Comparing the options
A quick reference to help you understand the trade-offs between procedures, scarring, and outcomes.
| Technique | Scars | Best candidate | Sensation |
|---|---|---|---|
| Phalloplasty | Donor site | Desires full-size phallus | Often preserved |
| Metoidioplasty | Minimal | Testosterone growth present | Excellent |
| Scrotoplasty | Minimal | Wants scrotal creation | Often preserved |
| Hysterectomy | Minimal / none | Wants uterus removed | Not affected |
What to expect at a glance
Your healing roadmap
A clear, week-by-week picture of what recovery looks like — so you always know what comes next.
- 1Week 1
Rest & monitoring
Hospital stay or close outpatient monitoring depending on the procedure. Manage swelling, follow wound care, and limit movement.
- 2Weeks 2–3
Healing & support
Incisions begin to close. Continue gentle cleansing and wear any recommended support garments. Light walking is encouraged.
- 3Weeks 4–6
Return to routine
Most patients resume light daily activities and desk work. Swelling continues to subside and the new contour becomes more visible.
- 4Months 2–3
Tissue maturation
Surgical sites soften and settle. Scar care begins, and any staged procedures may be planned if part of your surgical roadmap.
- 5Months 6–12
Final result
Healing is complete, scars have matured, and the final functional and aesthetic outcomes are established.
What your results will look like
Understanding scars, sensation, and long-term outcomes helps you set clear, realistic expectations.
Expected scars
Scar pattern varies by technique — from minimal with metoidioplasty to donor-site scars with phalloplasty, all fading over time.
Scar evolution
Scars are firm and pink early on, then progressively flatten and fade over 12–18 months with proper scar care.
Sensation
Nerve-preserving techniques aim to maintain meaningful sensation. Sensation may evolve and improve over the first year.
Functional outcomes
Depending on the procedure and options chosen, standing urination, sexual sensation, and implant-based rigidity may be achieved.
Long-term results
Once healed, results are permanent and stable, delivering lasting affirmation and comfort.
Genital contour
Tissue is sculpted for a natural, masculine appearance that harmonizes with your body and goals.
Surgical Excellence, with Care That Listens.
Every patient deserves compassionate, individualized care throughout their gender-affirming journey. Our team combines advanced surgical expertise with a deeply patient-centered approach to deliver safe, natural, and affirming outcomes tailored to your goals.
“Trusted by patients across Canada seeking compassionate, expert gender-affirming care.”
Fellowship-Trained Surgeons
Our procedures are performed by highly specialized surgeons with advanced training in gender-affirming and reconstructive surgery.
Advanced Microsurgical Care
We utilize modern surgical techniques and precision-focused care to support optimal healing, functionality, and long-term results.
WPATH-Aligned Protocols
Our approach follows internationally recognized standards of care to ensure ethical, safe, and evidence-based treatment.
Patient-Led Decision Making
Every treatment plan is built collaboratively, respecting your identity, goals, comfort level, and personal transition journey.
Aesthetic-Focused Outcomes
We prioritize natural-looking, harmonious results designed to align with each patient's vision and anatomy.
Multidisciplinary Support
From consultation to recovery, our team provides coordinated medical, surgical, and emotional support at every stage.
Meet Dr. Alexis Laungani
A vision of self-affirmation for all
Dr. Alexis Laungani is a plastic surgeon who offers meticulously crafted reconstructive and aesthetic procedures, artfully blending medical practice with personal well-being. With over 20 years of training across Belgium, the United States, and Canada, he harnesses globally recognized techniques to minimize downtime and scarring while achieving naturally beautiful results.
- Over 20 years of training across three continents
- Transparency at the cornerstone of care
- Holistic pre- and post-operative care
- Naturally beautiful, patient-centered results
From First Conversation to Long-Term Follow-Up.
We guide every patient through a personalized and supportive experience designed to prioritize comfort, clarity, safety, and confidence at every stage of the surgical journey.
“Every transition journey deserves thoughtful guidance, clarity, and compassionate support.”
- 1Step 1
Initial Consultation
Meet with our surgical team to discuss your goals, medical history, expectations, and personalized treatment options in a safe and affirming environment.
- 2Step 2
Surgical Planning
Your procedure plan is carefully tailored to your anatomy, transition goals, recovery needs, and desired aesthetic outcomes.
- 3Step 3
Surgery & Inpatient Care
Our team provides expert surgical care with attentive postoperative monitoring, ensuring comfort, safety, and individualized support during recovery.
- 4Step 4
Recovery & Follow-Up
We remain closely involved throughout healing with follow-up appointments, recovery guidance, and long-term support focused on optimal results and well-being.
Patients travel from across Canada
We welcome patients nationwide for gender-affirming bottom surgery, with coordinated travel and follow-up support.
Trusted by patients across every province and territory in Canada.
Frequently asked questions
More FTM surgical options
Body Masculinization
Contouring procedures that sculpt a stronger, more masculine physique and silhouette.
Facial Masculinization
Surgery that enhances masculine facial features and structural definition for a more affirming appearance.
Plan your FTM bottom surgery.
Begin with a private, confidential consultation. Our team will guide you through every step with clarity and care.
Confidential consultations available across Canada.
Dedicated patient coordinators available for Canadian and international patients.
Serving patients across Canada
- WPATH-aligned care
- Fellowship-trained surgeons
- Patients across Canada
