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Metoidioplasty is a surgical procedure primarily performed on transgender men or non-binary individuals seeking to create a neophallus from existing genital tissue. This type of surgery is an important part of gender-affirming care, allowing individuals to achieve a physical form that aligns with their gender identity. The procedure utilizes the hormonally enlarged clitoris, which is a result of testosterone therapy, as the foundation for constructing the neophallus. During metoidioplasty, the surgeon carefully dissects the clitoral tissue and repositions it to create a phallus, often allowing for some degree of erectile function. Unlike phalloplasty, which involves creating a penis using grafts from other body parts, metoidioplasty tends to be less complex and typically results in shorter recovery times. Another significant feature of metoidioplasty is that it preserves the urethra, allowing for the possibility of standing urination, a function that is highly valued by many individuals undergoing this transition. The surgery may be combined with other procedures such as scrotoplasty, which involves the creation of a scrotum using labial tissue, giving the patient a more typical male genital appearance. Beyond physical changes, metoidioplasty can significantly impact an individual's mental and emotional well-being, helping to alleviate gender dysphoria and enhance one's confidence and self-image. The decision to undergo metoidioplasty is highly personal and often involves thorough discussions with healthcare professionals, mental health support, and thorough consideration of the risks, benefits, and potential outcomes. Patients are usually required to undergo extensive pre-operative evaluations and may need to meet certain criteria to ensure they are suitable candidates for the surgery. Recovery after metoidioplasty can vary greatly among individuals, with some experiencing minimal discomfort while others may need more time for healing and a return to normal activities. Post-operative care is vital and involves monitoring for complications, managing pain, and following specific guidelines provided by the surgeon to ensure the best possible results. While the aesthetics of the neophallus created through metoidioplasty may differ from traditional phalloplasty, for many patients, the procedure offers a sense of completeness and congruence in their gender identity. As with any surgical intervention, potential risks such as infection, scarring, or dissatisfaction with cosmetic results exist, and patients should be encouraged to communicate openly with their medical team about their expectations and concerns. Ultimately, metoidioplasty represents a meaningful step in the transition journey for many individuals, fostering a reclaimed sense of self that aligns their physical body with their true gender identity and offers greater opportunities for intimacy and sexual expression.