Like girliepop said, FMS. This can be any of the following procedures tbh: brow bone implant (bigger brow bone), jaw implant (for a squarer jaw), jaw surgery, chin implant (bigger chin), chin surgery such as sliding genioplasty (bone of the chin is cut and moved forward for a more masculine chin side profile), masculinising rhinoplasty (basically getting a more masculine nose shape e.g. by widening the nose bridge and giving it a straighter slope like by adding a bone/cartilage graft or an implant), buccal fat removal (to slim the cheeks and give the appearance of a longer face), and upper lip reduction (smaller upper lip).

A lot of FMS procedures were popularized by cis male looksmaxxers. And the celebrity FMS surgeon is Eppley. I’ve had FMS but not with Eppley, he’s too expensive for me lol.

Another possibility but which is very risky is limb-lengthening surgery. Expensive, risky, might end up in chronic pain, just for 4 inches increase. Not worth it for me as I would still be short lol.

There are some more-niche body surgeries, like body masculinisation surgeries. These are still fairly new, and usually just involves liposuction of fat from certain areas. Although some rare cases involve a transfer of fat from one area of the body to another. Sadly there is no achievable way so far to actually shave down the hip bones, since that would really just fuck you over in basic everyday functioning. I’m not aware of any surgeries that can expand the ribcage / underbust, nor any surgery can add a significant amount to shoulder bones. (Obligatory sidenote that most FtMs primarily need good T levels, time and gymmaxxing, to achieve a passing body shape).

There are also facial hair transplants, e.g. transplanting head hair to the face, but this is rare because head hair being your beard isn’t exactly the right texture, so most FtMs try oral minoxidil first for getting more facial / body hair if considerable time on T didn’t work.

Then there is bottom surgery, but the topic lowkey depresses me— I’m very happy for FtMs who want and get bottom surgeries, but the current limitations are hard for me personally to emotionally deal with. Anyway bottom surgery is one of the most complex ftm surgical topics, so I will just summarize to say that there is metoidoplasty and there is phalloplasty. Phalloplasty involves constructing a dick where the tissue comes from another part of the patient’s body. There are various phallo methods, with their corresponding pros and cons, such as ALT or RFF or MLD or abdominal. Most phallo surgeries are RFF followed by ALT. RFF takes a graft from the forearm and leaves a scar there, ALT takes from the thigh and leaves a scar there. The length and girth of the dick depends on the size and nature of the graft site which depends on the person’s anatomical limitations e.g. whether they just have short arms and whether they have thigh skin that is less suitable for ALT. For ALT, there is a risk that the dick is too thick, so fat has to be taken out with debulking surgeries. For RFF, if the dick is too skinny, I heard there are some new injection bulking surgeries for that but that those are a little hit or miss.

Outside of the construction of the dick itself, the balls can also be constructed. Urethra lengthening and rerouting is done if the patient wants to urinate out of the dick, although it comes with some increased complication risks. Nerve hookup can be done for RFF and ALT to give some sensation to the dick, but can’t be done that well for other phallo methods. Yes the dick by default doesn’t have that much sensation unless you pick a certain method and do nerve hookup. There is of course also the removal of the natal genitals, so of the womb and ovaries and vaginal canal.

Oh and the dick can’t get hard by itself, it’s always flaccid. To achieve an erection manually usually requires implanting an erectile device in a separate surgery. There are various options of devices, but they tend to fail in some FtMs within a few months to a few years. The rod version can last up to 15 or more years, and in fact the average longevity of an erectile rod is 10-15 in typically-elderly cis male patients, but due to various factors, it seems to reject quicker on average in FtMs. Each replacement requires surgery that can come with complication risks to the urethra, sensation and size of the dick.

And also there is recently medical tattooing to give phallo dicks a more cis-passing appearance, which is great but is basically another step to add on, and also speaks to how some phallo results are not that cis passing without tattooing.

Phallo in the US can be 300k-500k out of pocket so the vast majority of people who can afford phallo have insurance coverage for it. It can require years of surgery and recovery across all of the stages mentioned and considering potential complications, so there are months that you have to take off work (assuming you aren’t a youngshit with a supportive family who is getting phallo while taking time off as needed in university, financially supported by your parents, getting the surgery massively subsidised by your parents’ US blue state white collar job insurance, etc etc). In the past, the number of FtMs who could get phallo are quite rare and often still is. They usually saved money until their 30s or even 40s, to afford both the surgery and the time that they won’t be able to spend working.

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