Gender-affirming testicle removal.
A safe, minimally invasive procedure to stop testosterone production, reduce dysphoria, and support your transition — with compassionate, patient-centered care across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
A definitive step in your transition
Orchiectomy removes the testes to stop testosterone production and relieve gender dysphoria.
For many transfeminine and non-binary patients, orchiectomy is a powerful and affirming procedure. By removing the testes, the body's primary source of testosterone is eliminated — which can reduce or remove the need for anti-androgen medication and help estrogen therapy work more effectively.
The procedure is relatively brief, minimally invasive, and performed on an outpatient basis. Our surgeons use discreet incision placements to ensure scars are hidden within natural folds, and every plan is built collaboratively to align with your broader transition goals — whether as a standalone step or as preparation for future surgery.
What orchiectomy can mean for you
More than a surgical procedure — a meaningful step toward comfort, alignment, and peace of mind.
Stops testosterone production
Removing the testes immediately halts the body's primary source of testosterone, reducing or eliminating the need for anti-androgen medication.
Simplifies hormone therapy
Many patients find their estrogen regimen becomes simpler and more effective once endogenous testosterone is no longer present.
Relieves gender dysphoria
For many transfeminine patients, orchiectomy is a deeply affirming step that reduces distress and brings comfort in daily life.
Minimal, hidden scarring
Incisions are placed within natural folds — either the scrotal raphe or the inguinal crease — for discreet, barely visible scars.
Fast recovery
Most patients resume light activities within one to two weeks and return to normal routines well before a month.
Paves the way for future surgery
Orchiectomy can be performed as a standalone procedure or as a preparatory step toward vaginoplasty or vulvoplasty.
Orchiectomy approaches
Your surgeon will recommend the approach best suited to your anatomy, goals, and any future surgical plans.
Simple Scrotal Orchiectomy
- Indications
- Patients seeking a straightforward procedure with the shortest recovery and minimal scarring.
- Advantages
- A single midline scrotal incision heals quickly and hides the scar within the natural raphe line.
- Ideal candidates
- Patients who want the fastest recovery and do not plan immediate vaginoplasty.
Inguinal Orchiectomy
- Indications
- Patients with tight scrotal skin or those who may proceed to vaginoplasty in the future.
- Advantages
- Incisions are placed in the groin crease, preserving scrotal skin for potential later use in vaginoplasty.
- Ideal candidates
- Patients considering future vaginoplasty or those with anatomy better suited to groin access.
Bilateral Orchiectomy with Scrotal Reduction
- Indications
- Patients who want the testes removed and the scrotum reduced for a flatter, more feminine contour.
- Advantages
- Combines testicle removal with scrotal tissue reduction in a single procedure.
- Ideal candidates
- Patients seeking a flatter genital silhouette alongside testosterone cessation.
Orchiectomy as Part of Vaginoplasty
- Indications
- Patients planning vaginoplasty and who prefer to have orchiectomy performed concurrently.
- Advantages
- Reduces the number of surgeries and recovery periods by combining steps.
- Ideal candidates
- Patients scheduled for vaginoplasty who want a single surgical event.
Comparing the approaches
A quick reference to help you understand the trade-offs between incision placement, candidacy, and recovery.
| Technique | Scars | Best candidate | Recovery |
|---|---|---|---|
| Scrotal | Minimal (raphe) | Standalone orchiectomy | 1–2 weeks |
| Inguinal | Hidden (groin) | Future vaginoplasty | 2–3 weeks |
| With scrotal reduction | Moderate | Flatter contour desired | 2–4 weeks |
| With vaginoplasty | Integrated | Combined planning | 3–6 months |
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 & cold therapy
Swelling and mild discomfort are managed with rest, cold packs, and prescribed medication. A supportive garment is worn to reduce swelling and support healing.
- 2Weeks 2–3
Return to light activities
Most patients resume light daily tasks and desk work. Walking is encouraged, but strenuous activity and heavy lifting remain restricted.
- 3Week 4
Gradual normalcy
Sedentary work routines and gentle social activity are typically resumed. The incision continues to heal and any residual tenderness fades.
- 4Months 2–3
Hormonal adjustment & final contour
Testosterone levels drop to negligible levels. Estrogen therapy may be adjusted by your endocrinologist. Scars soften and fade into the natural skin folds.
What your results will look like
Understanding scars, sensation, and long-term outcomes helps you set clear, realistic expectations.
Expected scars
Scrotal incisions leave a faint line along the natural raphe; inguinal incisions hide within the groin crease. Both become barely noticeable over time.
Scar evolution
Early scars appear pink and firm. Over 6–12 months they flatten, soften, and blend into surrounding skin with proper care.
Sensation
Most patients retain normal sensation in the surrounding skin. Any temporary numbness near the incision usually resolves within weeks to months.
Genital contour
The scrotum flattens and retracts over time, creating a smoother, more feminine silhouette — especially if scrotal reduction is included.
Long-term results
Once healed, results are permanent. Testosterone production ceases entirely, simplifying long-term hormone management.
Emotional relief
Patients often describe a profound sense of relief, reduced dysphoria, and improved alignment between body and identity.
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 orchiectomy, with coordinated travel and follow-up support.
Trusted by patients across every province and territory in Canada.
Frequently asked questions
More MTF surgical options
Vaginoplasty
Comprehensive gender-affirming surgery designed to create feminine anatomy with a focus on aesthetics, function, and long-term comfort.
Orchiectomy
A gender-affirming procedure involving the removal of the testes to support hormonal transition and reduce testosterone production.
Labiaplasty
Refinement procedures designed to enhance comfort, symmetry, and the aesthetic outcome of feminine anatomy.
Plan your orchiectomy.
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
