Surgeries for those assigned male, who identify as trans women, trans feminine, non-binary or non-gender





removal of testicles


removal of penis


creation of vagina


creation of clitoris


creation of labia


breast enlargement

Thyroid chondroplasty

reduction of Adam's apple

Facial feminising

especially reshaping nose and chin

Body reshaping

 achieve feminine shape

Crico-thyroid approximation

raising the pitch of the voice

Hair removal

donor site as well as facial and body

Hair transplant

to mitigate male pattern baldness


Lower surgery for those assigned male, who identify as trans women, trans feminine, non-binary or non-gender

Genital surgery is frequently regarded as a necessary step and an end-point to the journey from living as a man to living as a woman.

However, this surgery is irreversible and you should give yourself enough time to be sure that this is what you want. Although some level of reversal surgery is possible, you can never have your functioning male genital anatomy fully restored once it has been removed. Bear in mind that this surgery will not make a change to your everyday dressed appearance. In your public life, people will not behave differently towards you because you have undertaken this step. Successful social transition can be made without recourse to genital surgery, and there is no requirement to have any of the available surgical options in order to obtain full legal recognition by way of a Gender Recognition Certificate. So, genital surgery should not be regarded as inevitable.

Although living one's life as a woman with a penis is certainly possible, it does raise issues such as use of changing facilities, toilets and taking the kids swimming. These are all potentially public matters which can make for difficulties for those who have not had surgery to refashion the external genitalia. Clearly, and for some, more importantly, there is also an impact on intimate sexual relationships: what effect will surgery have on erotic possibilities; does this mark the end of your present relationship; will you be seeking new relationships; should you reveal your trans history to a new partner, if so, how and when?

This booklet is available here.


Surgeries for those assigned female, identifying as men, trans masculine, non-binary or  non-gender





chest reconstruction


removal of uterus


removal of fallopian tubes


removal of vagina


creation of micro-penis, using the clitoris


creation of penis, with or without urethra


creation of urethra within the penis


creation of scrotum

Testicular prostheses

penile prosthesis implant---making erection possible

Hair removal

donor site


A guide to lower surgery for those assigned female, identifying as men, trans masculine, non-binary or non-gender

This publication provides information about the various options for ‘lower’ surgery , including genital surgery, for trans men and trans masculine people.

These individuals have gender identities that are partially, or completely, at odds with the female sex assigned at birth. Those who experience a partial mismatch between gender identity and assigned sex, may describe themselves as non-binary, non-gender and/or many other terms. Pronouns, names and titles should be used in accordance with the wishes of the people concerned, regardless of their legal sex or gender status. The aim of lower surgery is to improve their lives, both psychologically and physically, by achieving a closer match between their genital appearance, their sexual function, and their self-identification

It is a guide to what can, and what cannot, be achieved through surgery. This information will also help sexual partners of trans men, by giving them an understanding of the range of possible outcomes, and the impact that these may have on their shared lives. The information is not aimed at surgeons themselves, although it may be helpful to those medical staff who are providing other aspects of care for trans men. The text also provides information and advice about sexual behaviours, and sexually transmitted diseases and how to avoid them.

This publication is written by the GIRES’ team that includes doctors and trans people. All the team members have specialist knowledge and experience in the transgender field. The team preparing the text, and the group involved in the consultation process, included trans men. 

This booklet is available here.