Masculinizing scrotal reconstruction.
A precise, aesthetic-focused approach to scrotal creation — combining advanced surgical expertise with compassionate, patient-centered care across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
A key step in masculinizing bottom surgery
Scrotoplasty creates a natural-looking scrotum, enhancing both the appearance and comfort of transmasculine anatomy.
Scrotoplasty is a gender-affirming procedure that constructs a scrotum as part of transmasculine bottom surgery. It can be performed on its own or alongside procedures such as metoidioplasty or phalloplasty, depending on your surgical goals.
The procedure uses carefully selected tissue to create a scrotum that looks natural and feels comfortable. Our surgeons follow WPATH-aligned standards and work collaboratively with you to ensure outcomes that reflect your identity and priorities.
What scrotoplasty can mean for you
More than a structural change — a meaningful step toward comfort, confidence, and body alignment.
Natural appearance
A scrotum that looks and feels natural, enhancing body confidence and alignment with your gender identity.
Improved comfort
Eliminates discomfort from loose or absent scrotal tissue, improving daily comfort and physical ease.
Harmonious proportions
Sculpted to complement your overall anatomy and any prior or planned bottom surgery.
Predictable recovery
A well-defined healing timeline with dedicated postoperative support at every stage.
Compatible with implants
Designed to accommodate testicular prostheses in future procedures if desired.
Tailored technique
Surgical approach customized to your anatomy, goals, and any concurrent procedures.
Scrotoplasty approaches
Your surgeon will recommend the technique best suited to your anatomy, goals, and any concurrent procedures.
Local Tissue Rearrangement
- Indications
- Patients with adequate local tissue and no prior extensive genital surgery.
- Advantages
- Uses existing tissue for a natural look with minimal donor-site morbidity.
- Ideal candidates
- Patients seeking scrotal creation without additional flap procedures.
Pedicled Flap Scrotoplasty
- Indications
- Cases requiring additional tissue volume or skin for optimal contour.
- Advantages
- Provides robust tissue bulk and excellent vascularization for durable results.
- Ideal candidates
- Patients needing more substantial reconstruction or concurrent phalloplasty.
Labial Tissue Scrotoplasty
- Indications
- Patients with existing labial tissue undergoing masculinizing bottom surgery.
- Advantages
- Repurposes native tissue into a scrotum with natural texture and sensitivity.
- Ideal candidates
- Patients undergoing metoidioplasty or phalloplasty who wish to preserve sensation.
Implant-Ready Scrotoplasty
- Indications
- Patients planning future testicular prosthesis placement.
- Advantages
- Creates a pocket and adequate coverage designed for safe prosthetic insertion later.
- Ideal candidates
- Patients who want to stage their reconstruction with future implant placement.
Comparing the techniques
A quick reference to help you understand the trade-offs between scarring, candidacy, and sensation.
| Technique | Scars | Best candidate | Sensation potential |
|---|---|---|---|
| Local Tissue | Minimal | Adequate local tissue | Often preserved |
| Pedicled Flap | Moderate | Needs more volume | Generally preserved |
| Labial Tissue | Minimal | Existing labial tissue | Typically preserved |
| Implant-Ready | Minimal–moderate | Future implant planned | Variable |
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 & swelling management
Swelling and bruising are expected. Keep the surgical area clean and dry, and wear supportive garments as instructed. Limit movement and avoid pressure on the area.
- 2Weeks 2–3
Wound healing & suture care
Incisions begin to close. Continue gentle cleansing and monitor for any signs of infection. Light walking is encouraged, but avoid strenuous activity.
- 3Weeks 4–6
Gradual return to activity
Most patients resume light daily activities and desk work. Swelling continues to subside and the new contour becomes more apparent.
- 4Months 2–3
Tissue maturation
The scrotal tissue softens and settles into its final position. Scar care begins to optimize long-term appearance.
- 5Month 6–12
Final result
The scrotum achieves its mature appearance and texture. If planned, testicular prostheses may be inserted once fully healed.
What your results will look like
Understanding scars, sensation, and long-term outcomes helps you set clear, realistic expectations.
Expected scars
Scarring is typically minimal and strategically placed to be discreet. Scars fade progressively over 6–12 months with proper care.
Contour evolution
Initial swelling resolves over several weeks, revealing the final shape and position of the reconstructed scrotum.
Sensation
Sensation varies by technique. Labial tissue approaches often preserve meaningful sensitivity in the reconstructed area.
Natural appearance
The scrotum is shaped and positioned to appear natural in proportion to your anatomy and any concurrent procedures.
Long-term results
Results are permanent and stable, providing lasting comfort and affirmation without the need for ongoing revision.
Implant compatibility
Implant-ready techniques create a suitable environment for future testicular prostheses if desired.
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 scrotoplasty, with coordinated travel and follow-up support.
Trusted by patients across every province and territory in Canada.
Frequently asked questions
More FTM surgical options
Phalloplasty
Advanced masculinizing reconstructive surgery focused on creating natural form, function, and long-term gender affirmation outcomes.
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.
Plan your scrotoplasty.
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
