Phalloplasty is a sex change surgery that allows transsexual men to obtain a penis. You should stop smoking before and after the intervention, as well as stop taking anti-inflammatory medications. You will be admitted to the hospital the day before to perform an intestinal wash.


It is a complicated surgery that lasts between 8 and 9 hours. At first, the urologist will use the labia minora to rebuild the urethra. Then from the labia majora, he will build a scrotum, which will be similar to that of a biological man.

To build the penis, the surgeon uses the forearm tissue, which must first have been treated by laser hair removal. This skin flap covers and gives volume to the internal canal, which serves to evacuate urine. The forearm will be covered by a scar and will be thinner after this procedure, which manages to get a penis of about 12 to 13 cm, with penetration capacity.


An operation of this type requires 2 1/2 weeks of hospitalization, and you will not be able to return to work for up to 2 months. You will wear a compression bandage or around the arm where the skin flaps was removed. In a few days, the drains will be removed.

We advise you to follow the following instructions in the postoperative period:

  • Protect the operated area from the cold
  • Sleep on your back
  • Maintain excellent intimate hygiene
  • Wear loose clothing and baggy underpants
  • Wait several weeks before resuming smooth and progressive physical activity
  • Pay attention to any significant changes during your recovery period: smells, fluids to tell your surgeon as soon as possible.


In general, patients are very satisfied with the results of their phalloplasty and most can urinate standing and have orgasms. With regard to penetration, you will need to wear an erectile prosthesis. For an even more natural result, you can tattoo veins on your penis. Only after healing is complete, you can perform a new intervention to complete your transformation.

By Alexander James

Beau Alexander James: Beau, a mental health advocate, shares personal stories, coping strategies, and promotes mental health awareness and understanding.