Gender-Affirming Bottom Surgery

UMass Memorial Medical Center in Worcester is the only program in the region offering gender-affirming bottom surgery. Offerings include advanced options, like full-depth peritoneal flap vaginoplasty. Experienced surgeons work together to ensure the highest level of skill and attention to detail.

When you choose UMass Memorial Health, you receive services from providers who genuinely care about you as an individual. We are here to listen and guide you and ensure that every aspect of your care reflects your goals. 

Learn more about gender-affirming bottom surgery in this video. 

Gender-Affirming Bottom Surgery Services

UMass Memorial Medical Center offers a range of options, and our depth of experience ensures exceptional outcomes. Patients often share how happy they are with the care they receive, which is a testament to our surgeon’s skill and commitment to supporting you.

Simple Orchiectomy

An orchiectomy is surgery to remove the testicles. This procedure may eliminate the need for testosterone blockers. It can also reduce the amount of estrogen you need. 

Full-Depth Vulvoplasty

During this procedure, we construct external genitalia, specifically the labia and clitoris. Surgeons use nearby skin and tissue to create structures with a natural look and feel. You may wish to pursue vulvoplasty if you are not interested in having a vaginal canal. 

Full-Depth Peritoneal Flap Vaginoplasty

This procedure creates a vaginal canal with sufficient depth to support penetrative sexual intercourse. Surgeons take tissue from the abdominal cavity lining (peritoneum) to form the vaginal canal. 

Additional Gender-Affirming Services We Offer

Bottom surgery is one of many services that help align your appearance with your authentic self. UMass Memorial specialists work together to coordinate the care details so you can focus on the path ahead. 

Additional gender-affirming services are available from: 

• Dermatologists who treat unwanted hair, hair loss and skin changes due to gender-affirming hormones
• Ear, nose and throat surgeons whose services include Adam’s apple reduction
• Endocrinologists who prescribe gender-affirming hormone therapy
• Gynecologists who provide supportive procedures, such as hysterectomy and oopherectomy
• Speech-language pathologists who provide therapies to help modify your voice so it reflects your gender identity