Palm Desert Plastic Surgery Blog

Types of Gender Confirmation Surgeries (Formerly Sex Reassignment)

Gender Confirmation Surgery

Types of Gender Confirmation Surgeries (Formerly Sex Reassignment)Surgery is believed to be an affirming and important part of the transition for some, if not all transgender people. Gender confirmation plastic surgery play an important role in alleviating feelings of dysphoria. It also helps in aligning your internal sense of gender with your physical body.

Board certified plastic surgeon Dr. Suzanne Quardt (Dr. Q) provides gender confirmation surgeries to patients in Palm Springs, Palm Desert, Rancho Mirage, Beverly Hills, CA, and surrounding communities.

Bottom Surgery for Folks Assigned Female at Birth (AFAB)

  1. Metoidioplasty

A new phallus is created by releasing the enlarged clitoris from its clitoral hood. Urethra may need to be rerouted in this surgery with a graft from the inside of the vaginal wall or cheek to allow easy urination through the phallus.

  1. Phalloplasty

The thigh, forearm or back is used as the source of graft for creating a new penis. The urethra in this procedure may be linked to allow normal urination through the penis. Implant may also be installed for the penis to get erect.

  1. Vaginectomy, hysterectomy, and oophorectomy

AFAB transpeople have several options in terms of reconstructing their reproductive organs. This includes removal of the vagina (vaginectomy), uterus (hysterectomy), and one or both ovaries (oophorectomy).

Top Surgery for People Assigned Male at Birth (AMAB)

Absence of breast tissue can cause dysphoria and discomfort in non-binary or transfeminine people who were assigned male at birth (AMAB). Hormone therapy may increase the chest size marginally. However, some people who want a feminine looking appearance usually turn to top surgery for breast augmentation.

In breast augmentation, an incision is made around the areola and under the armpit. This is to insert a customized saline or silicone implant. Saline implants are usually less expensive, but silicone implants offer more natural and softer results. Breast augmentation cosmetic surgery is recommended for anyone desiring a larger chest.

Bottom Surgery for People Assigned Male at Birth (AMAB)

Most AMAB people have testicles and a penis. This can be uncomfortable for transfeminine and nonbinary AMAB folks. There are several types of bottom surgeries that can help with this.


Existing tissue is used for constructing a functioning vagina. Penile inversion is the most common method used for achieving a vagina. Your penis will be inverted to create a vagina. The scrotal skin of the penis will become the labia and the tip of the penis will act like a functioning clitoris. This surgery is a poignant option for people desiring a functioning vagina.

Orchiectomy and scrotectomy

The entire scrotum, one or both testicles may be removed with these procedures. Orchiectomy is less expensive as compared to scrotectomy. In orchiectomy your testes will be removed to ensure that less endogenous testosterone is released. This is helpful for people on hormone replacement therapy.

Scrotectomy offers the same kind of results but is not recommended for individuals considering a vaginoplasty. This is because scrotal skin is necessary during a vaginoplasty. Cosmetic surgeon Dr. Suzanne Quardt (Dr. Q) receives patients from Palm Springs, Palm Desert, Rancho Mirage, Beverly Hills, CA, and nearby areas for gender reconfirmation surgery.

Schedule a Consultation with California Board Certified Plastic Surgeon, Dr. Q 

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, Dr. Suzanne Quardt (Dr. Q) please contact us at 760-324-2660. To learn more about Dr. Q’s Medical Spa please visit

See Dr. Q on Dr. 90210

Dr. Q receives patients from Palm Springs, Palm Desert, Rancho Mirage, Beverly Hills CA, and other Southern California areas.

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Rancho Mirage

Newport Beach

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Tel: 760-537-4579

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Corona Del Mar, CA 92625
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