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Updated: Oct 23, 2025

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Published on: January 10, 2025
Masculinizing gender-affirming surgery for trans men and non-binary individuals: what you should know
Darshan P Patel1, Isak A Goodwin2, Omer Acar3
1Division of Urology, University of Utah School of Medicine, Salt Lake City, Utah.
Abstract:
Gender dysphoria, the discordance between one's gender identity and anatomy, affects nearly 25 million people worldwide, and the prevalence of transgender and non-binary identities is increasing because of greater acceptance and awareness. Because of the improved accessibility to gender-affirming surgery (GAS), many providers will care for patients during and after gender transition. For trans men (female-to-male), GAS represents a combination of procedures rather than a single surgery. The particular combination of masculinizing procedures is chosen on the basis of informed patient-provider discussions regarding the patient's goals and anatomy and implemented through a multidisciplinary team approach. In this review, we describe the common procedures comprising masculinizing GAS to improve delivery of specialized care for this patient population.
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