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Miami, FL
305-204-9598

Miami, FL

Metoidioplasty

Introduction to Metoidioplasty

Metoidioplasty, often called “meta,” is a gender-affirming bottom surgery that creates a penis from the patient’s existing genital tissue. This procedure uses the natural growth of the clitoris that has occurred under testosterone, allowing Dr. Gallagher to craft results that look and feel authentic while aligning closely with each patient’s goals.

At Gallagher Plastic Surgery in Miami, FL, Dr. Gallagher’s focus is always on safety, precision, and helping each patient achieve results that are both affirming and functional.

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What is Metoidioplasty?

Currently, Dr. Gallagher does not offer urethral lengthening. This is a procedure where we use the patient’s clitoris, which has been enlarged after the effects of testosterone. This can be made into a small penis, and the labia are designed to form a scrotum. At a later surgery, testicular implants may be placed.

Usually, the penis made from the clitoris is not big enough to be used for penetration. The surgery is best done when the full effects of testosterone are seen on the clitoris – this usually means two years of testosterone before surgery. Often, this procedure can be combined with a monspubis lift, which brings the penis closer to the front of the body. It can be done with or without the creation of a scrotum and placement of testicular implants.

What Are the Benefits of a Metoidioplasty?

Dr. Gallagher, a blonde woman with long curly hair, is seated at a desk in her office with a large window overlooking a cityscape. She is smiling and looking off to the side while holding documents and a pen.

The main benefit of metoidioplasty is the creation of a penis that is natural, sensate, and entirely your own tissue. Because the clitoris has already grown under the effects of testosterone, the procedure allows for preservation of sensation and sexual function.

For many patients, metoidioplasty creates a more congruent body image, reduces or eliminates the need for external prosthetics, and helps align physical appearance with gender identity. Additional options, such as a mons lift or later placement of testicular implants, can further enhance results and create a more balanced contour.

Who Are the Best Candidates For Metoidioplasty?

Dr. Gallagher, a blonde woman in a white lab coat over a grey dress, is seated and smiling warmly while speaking and gesturing with her hands to a patient in a light blue patterned hospital gown. They are in a well-lit exam room next to a wall with a pink and blue abstract painting.

The best candidates for metoidioplasty are transgender men or nonbinary individuals who are seeking gender-affirming genital surgery but do not wish to undergo phalloplasty or urethral lengthening.

Ideal candidates have been on testosterone long enough (usually at least two years) to achieve maximum clitoral growth, are in good overall health, and have realistic expectations about the outcomes. The procedure works better on patients with a BMI of under 35. This procedure is not typically used for penetrative sex, so patients should consider their goals carefully during consultation.

What’s the First Step?

Your Metoidioplasty Journey with Dr. Gallagher

The first step toward metoidioplasty is scheduling a consultation with Dr. Gallagher either at our Miami office or virtually.

During this appointment, she will review your medical history, discuss your transition goals, and examine your anatomy to determine the best surgical approach. You will also have the chance to ask Dr. Gallagher questions about the procedure, recovery, and results so you can feel fully informed.

From there, your personalized surgical plan will be created that matches your goals and timeline.

What to Expect on the Day of Metoidioplasty Surgery

Once anesthesia is administered, the procedure begins with the release of the clitoral tissue to create a penis. Depending on your goals, the labia can be reshaped into a scrotum, with or without testicular implants.

A Mons lift may also be performed to bring the penis forward for improved appearance and function.

Once complete, you will be placed in recovery for monitoring before being discharged home the same day. You should have someone available to drive you home and stay with you overnight.

Metoidioplasty Recovery

Your Guide to Post-Metoidioplasty Care

Usually, this procedure takes 2-3 hrs and can be performed as an outpatient. Since we are not performing urethral lengthening, a catheter is usually not required for recovery. Most of our patients return to work in about 2 weeks.

How Much Does a Metoidioplasty Cost in Miami, FL?

The cost of metoidioplasty in Miami varies depending on the details of your surgical plan and whether additional procedures, such as scrotoplasty or testicular implants, are included. Since this surgery is highly customized, you will receive an exact quote during your consultation. Our Miami team can also discuss financing options to help make the procedure more accessible.

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Why Choose Dr. Sidhbh Gallagher?

Dr. Sidhbh Gallagher is internationally recognized for her expertise in gender-affirming surgeries and has devoted her career to helping transgender and nonbinary patients achieve surgical results that feel right for them. She is double board-certified in both general and plastic surgery and is affiliated with the American Board of Plastic Surgery (ABPS) and the Aesthetic Society. Patients in Miami and from around the world choose Dr. Gallagher for her surgical expertise, compassionate approach, and commitment to individualized care.

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See what our Patients Say

Patient Reviews

  • Dr. Gallagher, wearing a surgical cap and mask, is shown from the back of the head and shoulder, dressed in a blue surgical gown, looking down toward a bright operating area.

    I had an amazing experience with Dr.Gallagher and her team, the whole experience from the procedure (top surgery) to the post-op care has been fantastic. Dr.Gallagher was able to address any concerns I had with my chest before the procedure and made me feel comfortable the whole way through, and then the attentiveness post-op is all the better.

    Alfio Oliveira (Jay)

  • Dr. Gallagher (left), in a white lab coat, and a blonde patient (right), in a blue patterned hospital gown, smile and look up at the camera. The patient is holding up a peace sign with one hand. A piece of art with the colors of the transgender flag is visible on the wall behind them.

    Thank you so much Dr. Gallagher for your amazing work! I appreciated the great support from your team at the surgical centre and your office. Everyone was so wonderful! I am extremely happy with my results and had a very positive experience. I had followed Dr. Gallagher for several years on Instagram prior to my surgery, and learned so much from her detailed explanations about various aspects of the surgical procedures, what to expect on the day, recovery, etc. I had complete trust, felt safe, felt listened to. I also appreciate the follow-ups, and answers to all my questions. The support, warmth, care is top notch!

    Gill B.

  • Dr. Suzanne Gallagher, a blonde woman in light green scrubs, stands next to a patient lying on a bed (only the patient's arm is visible) behind a blue curtain in what appears to be a clinical or operating room setting. She is smiling and gesturing with her right hand while her left hand is on her hip.

    Dr. Gallagher and her whole team, from Neasa to Daryl Ann and everyone else in between, are absolutely fantastic, kind hearted, hard working people. Dr. Gallagher truly amazed me and I’m so grateful to have had her on my team.

    I was able to get keyhole top surgery about three weeks ago and I’m loving my results already! I’m muscular and heavier set as well but always had a smaller chest, and I’m so glad Dr. Gallagher was the one who could do this for me.

    Right now I am still experiencing swelling, but I am using compression dressings every day, throughout the day which helps tons! I know that when the swelling subsides months from now, and everything is “back to normal”, I am going to love even more what I see in the mirror because I can finally see me.

    Morgan F.

  • Dr. Gallagher, wearing a surgical cap and mask, is shown from the back of the head and shoulder, dressed in a blue surgical gown, looking down toward a bright operating area.

    So glad I found Dr. Gallagher. I would not have elected to pursue my surgery had I not found a qualified and competent medical provider that I felt I could trust and have confidence in their ability to offer a high-quality, low-risk result. As a result of my initial contacts and consultations with Gallagher Plastic Surgery practice, I was willing to pursue my desired surgery and even travel half-way across the country to their offices. I’m so glad I did. The results are outstanding, more than I even anticipated. This was the 3rd practice I had dealt with and so I was learning what to look for and knew Dr. Gallagher was a good fit. The medical expertise and professionalism are what I based my decision on to proceed. They were calmly confident for a reason. I realized at the surgery event and through to the 3 week post-op checkin the excellence in their personal care (bed side manner). The office and Dr. Gallagher communicated very well. Everything went smoothly and as planned. As nervous as I was about an unnecessary surgery, Dr. Gallagher and her team were able to build enough trust that I was able to receive a very beneficial result.

    Tim F.

  • Dr. Gallagher (left), in a white lab coat, and a blonde patient (right), in a blue patterned hospital gown, smile and look up at the camera. The patient is holding up a peace sign with one hand. A piece of art with the colors of the transgender flag is visible on the wall behind them.

    Dr. Gallagher and her team are the absolute best! She completed my brachioplasty on Tuesday and when I saw the initial results at my post op appointment two days later I literally had tears of joy streaming down my face. My weight loss journey has been a road of many ups and downs, and I was so nervous about whether this surgery could even work for me. Even with the swelling that is normal after brachioplasty, there is an enormous difference, and I am still in disbelief that even this early on, my arms look this great. My husband was even in disbelief, and we’re so excited to see what I’ll look like in two weeks time. Dr. Gallagher is so kind and patient, and walked me through all of the phases of healing/expectations, and was great to call and check in. If you are looking for a highly skilled surgeon that will give you optimal results along with a compassionate approach, it is well worth your time and money to consider a consultation with her. I am forever thankful for her and for her team! This is life changing for me. Thank you, Dr. Gallagher! I appreciate you so much!

    Melissa E.

Schedule Your Consultation

If you are ready to explore our metoidioplasty procedure, schedule a consultation with Dr. Gallagher at Gallagher Plastic Surgery in Miami, FL.

Call (305) 204-9598 or visit gallagherplasticsurgery.com to request your appointment. Dr. Gallagher will guide you through the process and help you create a surgical plan that aligns with your goals and affirms your identity.

Dr. Gallagher frequently works with patients outside of Miami and the state of Florida. If you are interested in discussing this procedure in a discreet and comfortable setting, you can also schedule a virtual consultation with her to ask any questions you may have and learn more about proceeding with your surgery.

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