Both are FTM bottom-surgery options, but they differ. Metoidioplasty uses the testosterone-enlarged clitoris to create a small phallus in a single, lower-risk operation that keeps strong sensation. Phalloplasty builds a larger, adult-sized phallus from a skin flap over several stages, with the option of an implant for penetrative sex. The right choice depends on your priorities: size and penetration versus simplicity, sensation and recovery.
Side by side
| Metoidioplasty | Phalloplasty | |
|---|---|---|
| Phallus size | Smaller (from enlarged clitoris) | Adult-sized (from skin flap) |
| Operations | Usually one | Staged, several over months |
| Standing urination | Possible with urethral lengthening | Possible with urethral lengthening |
| Erections / penetration | Natural erection, usually not penetrative | Penetration possible with an implant |
| Sensation | Strong, native erogenous sensation | Develops over time via nerve connection |
| Complexity & recovery | Lower, shorter | Higher, longer |
| Relative cost | Lower | Higher |
When metoidioplasty tends to fit
Metoidioplasty often suits people who prioritise a single operation, lower complication risk, preserved sensation and a faster recovery, and for whom an adult-sized phallus or penetrative sex is not the main goal. It can still include urethral lengthening for standing urination and a scrotoplasty.
When phalloplasty tends to fit
Phalloplasty often suits people for whom size and the option of penetrative sex matter, and who accept a staged pathway, longer recovery and higher complexity in exchange. Sensation develops gradually, and an implant can be added later for rigidity.
Frequently asked questions
Which has fewer complications?
Can I have phalloplasty later after metoidioplasty?
Do both allow standing urination?
Coordinating this in Thailand
We coordinate both metoidioplasty and phalloplasty at partner hospitals and help you talk the choice through with an experienced surgeon. See the FTM surgery page and indicative pricing, or start a free consultation.
Sources
This article is general information, not medical advice. Eligibility, surgical techniques, recovery and prices vary by individual and are confirmed only at consultation with the surgeon. Surgical outcomes are not guaranteed.