Procedure guides
Abdominal phalloplasty →
Lower abdominal tissue is used to create a penis.
Radial forearm phalloplasty →
Forearm tissue is transferred to create a penis.
Metoidioplasty →
Reconstruction using existing genital tissue.
Vaginoplasty →
Surgery to create a vulva and vaginal canal.
Vulvoplasty →
External reconstruction without a vaginal canal.
Preparation and support
Consultation and preparation →
Program requirements, documentation, coverage questions and planning.
Recovery planning →
Topics to review before discharge and at follow-up.
Caregiver and travel planning →
Organize support, travel and practical needs.
Surgical terms →
Definitions and illustrations of related procedures.
Using these guides
Start with the procedure you want to learn about, or begin with preparation if you are still exploring. Each procedure guide includes questions you can select, personalize and print.
Surgery is a personal decision. You can discuss alternatives, take more time or decide not to have surgery. An illustration shows a surgical concept, not a promised result.
General education, program requirements and your individual care plan serve different purposes. Follow your own team’s instructions.
Sources and review
Based on supplied University Hospitals program handouts and Daly Horton’s educational illustrations (2024), with Dr. Gupta’s October 2026 clarifications. The handouts describe particular techniques and pathways; they are not a substitute for your individual instructions.
University Hospitals gender-affirmation surgery service ↗
Appointments and clinical questions ↗