Comprehensive genital reconstruction.
A thoughtful, aesthetic- and function-focused approach to phalloplasty — combining advanced microsurgical expertise with compassionate, patient-centered care across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
A defining step in genital affirmation
Phalloplasty is a surgical procedure that constructs a phallus using tissue from a donor site on the body.
For many transmasculine and non-binary patients, phalloplasty is one of the most affirming steps in their transition. The procedure builds a phallus from a microsurgical tissue flap and can be combined with urethral lengthening, scrotoplasty, glansplasty, and an erectile prosthesis to meet your aesthetic and functional goals.
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 phalloplasty can mean for you
More than an aesthetic change — a meaningful step toward comfort, confidence, and self-recognition.
Affirming anatomy
A reconstructed phallus that aligns your body with your identity and lasting sense of self.
Everyday comfort
Greater ease and confidence in clothing, intimacy, and daily life, free from dysphoria.
Improved well-being
Patients consistently report meaningful improvements in confidence, comfort, and quality of life.
Refined aesthetics
Natural proportions, refined contour, and harmonious results tailored to your goals.
Functional goals
Options for standing urination, erotic sensation, and penetrative ability discussed with you.
Technique tailored to you
The surgical approach is matched to your anatomy, priorities, and desired outcomes.
Phalloplasty techniques
Your surgeon will recommend the approach best suited to your anatomy, sensation and function goals, and scar preferences.
Radial Forearm Free Flap (RFF)
- Indications
- Patients prioritizing erotic sensation and a refined, slender phallus.
- Advantages
- Excellent sensory potential and reliable tissue with consistent aesthetic results.
- Ideal candidates
- Patients accepting a visible forearm donor site for optimal sensation.
Anterolateral Thigh Flap (ALT)
- Indications
- Patients seeking a concealed donor site and greater girth.
- Advantages
- Donor scar is hidden on the thigh, with good volume and a single-stage option.
- Ideal candidates
- Patients with suitable thigh anatomy preferring a less visible scar.
Musculocutaneous Latissimus Dorsi (MLD)
- Indications
- Patients prioritizing length, bulk, and the option for future prosthesis.
- Advantages
- Robust tissue with a back donor site and strong structural support.
- Ideal candidates
- Patients seeking maximal volume and long-term implant potential.
Suprapubic / Abdominal Flap
- Indications
- Patients prioritizing simpler surgery without microsurgical transfer.
- Advantages
- No microsurgery required, with a concealed lower-abdomen donor site.
- Ideal candidates
- Patients who do not require erotic sensation in the phallus.
Comparing the techniques
A quick reference to help you understand the trade-offs between donor site, candidacy, and sensation.
| Technique | Donor site | Best candidate | Sensation potential |
|---|---|---|---|
| RFF | Forearm | Sensation priority | Excellent potential |
| ALT | Thigh (concealed) | Girth & discretion | Good potential |
| MLD | Back | Volume & prosthesis | Variable |
| Suprapubic | Lower abdomen | Simpler surgery | Limited |
What to expect at a glance
Your healing roadmap
A clear picture of what recovery looks like across each stage — so you always know what comes next.
- 1Week 1
Hospital monitoring
Close in-hospital monitoring of the flap and healing, with active pain management and rest.
- 2Weeks 2–6
Early healing & wound care
Donor and reconstruction sites heal under careful guidance, with gradual return to light daily activity.
- 3Weeks 6–12
Progressive recovery
Swelling subsides and you gradually resume more activity, avoiding strain until cleared.
- 4Months 3–6
Scar maturation & staged steps
Scars soften and additional staged procedures (such as urethral lengthening) may be scheduled.
- 5Months 6–12
Final result
Sensation continues to develop and the final aesthetic and functional outcome becomes apparent.
What your results will look like
Understanding scars, sensation, and functional outcomes helps you set clear, realistic expectations.
Expected scars
Scarring depends on the flap technique — forearm, thigh, back, or lower abdomen donor sites each leave distinct patterns.
Scar evolution
Scars are pink and firm early on, then progressively flatten and fade over 12–18 months with proper care.
Sensation
Sensation develops gradually over months. Nerve coaptation with RFF and ALT offers the greatest potential for erotic sensation.
Standing urination
With urethral lengthening, many patients achieve the ability to urinate while standing as a staged goal.
Long-term results
Once fully healed, results are permanent, delivering an affirming, functional, and natural-appearing reconstruction.
Aesthetic contour
The phallus is sculpted for natural proportions and contour that harmonize with your overall body.
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
Metoidioplasty
A gender-affirming procedure that enhances existing anatomy to create a natural masculine appearance with shorter recovery times.
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 phalloplasty.
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
