Natural masculine genital reconstruction.
A thoughtful, patient-centered approach to metoidioplasty — combining advanced surgical expertise with compassionate care across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
A natural approach to genital affirmation
Metoidioplasty releases and reshapes testosterone-enlarged clitoral tissue into a small, naturally erect phallus.
For many transmasculine and non-binary patients, metoidioplasty is an affirming step in their transition. The procedure takes advantage of tissue growth from testosterone therapy, releasing the clitoral ligament to create a visible phallus that retains excellent sensation and natural erectile function.
Every plan is built collaboratively, respecting your anatomy, goals, and comfort. Our surgeons follow internationally recognized, WPATH-aligned standards to ensure safe, ethical, and natural-looking outcomes.
What metoidioplasty can mean for you
More than an anatomical change — a meaningful step toward comfort, confidence, and self-recognition.
Affirming anatomy
A reconstructed phallus 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.
Natural erectile function
The metoidioplasty preserves native erectile tissue, allowing natural erection without prostheses.
Less invasive approach
A shorter, less complex procedure than phalloplasty with quicker recovery and minimal donor-site scarring.
Technique tailored to you
The surgical approach is matched to your anatomy, goals, and priorities for the best possible outcome.
Metoidioplasty approaches
Your surgeon will recommend the approach best suited to your anatomy, goals, and priorities.
Simple / Standard Metoidioplasty
- Indications
- Patients seeking a smaller, natural phallus with minimal surgery and recovery time.
- Advantages
- The least invasive option — releases the clitoral ligament to create a visible phallus without additional grafting.
- Ideal candidates
- Patients prioritizing sensation and simplicity over maximum size.
Ring Metoidioplasty
- Indications
- Patients wanting additional girth and length beyond simple release.
- Advantages
- Uses a full-thickness skin graft to enhance phallic girth while preserving excellent sensation.
- Ideal candidates
- Patients with adequate donor skin who want more pronounced results.
With Urethral Lengthening
- Indications
- Patients who wish to urinate while standing as part of their surgical goals.
- Advantages
- Extends the urethra through the neo-phallus using local tissue or grafts, enabling standing urination.
- Ideal candidates
- Patients prioritizing functional goals alongside aesthetic outcomes.
With Scrotoplasty
- Indications
- Patients seeking a complete masculine genital appearance including a scrotum.
- Advantages
- Creates a natural-looking scrotum that can later accommodate testicular prostheses if desired.
- Ideal candidates
- Patients wanting comprehensive genital reconstruction in a single or staged approach.
Comparing the approaches
A quick reference to help you understand the trade-offs between scarring, candidacy, and sensation.
| Technique | Scars | Best candidate | Sensation |
|---|---|---|---|
| Simple Metoidioplasty | Minimal | Sensation priority | Excellent |
| Ring Metoidioplasty | Donor site | More girth | Excellent |
| + Urethral Lengthening | Minimal | Standing urination | Preserved |
| + Scrotoplasty | Minimal | Complete appearance | Preserved |
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 for close monitoring. Manage swelling, follow wound care, and limit movement. A urinary catheter is typically in place.
- 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 3–6
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
Scarring is minimal with metoidioplasty — primarily around the released phallus and any donor site for ring or grafting techniques.
Scar evolution
Scars are firm and pink early on, then progressively flatten and fade over 12–18 months with proper scar care.
Sensation
Because metoidioplasty uses native tissue, tactile and erotic sensation is typically preserved at an excellent level.
Standing urination
With urethral lengthening, many patients achieve the ability to urinate while standing as part of their surgical plan.
Long-term results
Once healed, results are permanent and stable, delivering lasting affirmation and comfort with natural erectile function.
Genital contour
The phallus 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 bottom surgical options
Phalloplasty
Advanced masculinizing reconstructive surgery focused on creating natural form, function, and long-term gender affirmation outcomes.
Scrotoplasty
A reconstructive procedure designed to create a natural-looking scrotum as part of comprehensive transmasculine surgical care.
Urethral Lengthening
A specialized procedure allowing urinary function through the reconstructed anatomy while supporting functional masculinization goals.
Plan your metoidioplasty.
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
