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Tops and Bottoms: Everything You Wanted to Know about Getting Bottom Surgery

Our next series of blogs will be all about gender affirming surgeries and some procedures.

Surgery Info

We’ll start with some tips for prep and recovery. From there, we intend to discuss a specific type or style of surgery each week using the following format:

What: What the surgery is

When: Expected prep and recovery

Who: Surgeons who offer the surgery

How: Common surgeon and insurance requirements to access

Why: Some things to think about when choosing your surgery

This series is intended to complement our Gender Affirming Surgery page. It can also be read in conjunction with our previous blogs:

The Blog Schedule

Week One: General Prep and Timelines for Bottom Surgery

Week Two: Nullectomy

Week Three: Vaginectomy

Week Four: Penectomy

Week Five: Orchiectomy with or without Scrotomectomy

Week Six: Phallus-preserving vulva-vaginoplasty

Week Seven: Vaginal-preserving phalloplasty

Week Eight: Phalloplasty

Week Nine: Metoidoplasty

Week Ten: Vulva/Vaginoplasty (penile inversion, peritoneal pull-through, colo)

Week Eleven: Hysterectomy

Week Twelve: Body Contouring

Week Thirteen: Chest Contouring

Week Fourteen: Implants

Week Fifteen: Vocal Surgery

Week Sixteen: Facial Surgeries

Week Seventeen: Botox

Week Eighteen: Fillers

Image of a white person's arm from just above the elbow to the tips of the fingers with hand outspread, inner forearm facing up. Person has reddish brown arm air. Diagrams on the image show a rectangular space on the forearm from the wrist to below the elbow labeled as "Start 1 cm proximal to the wrist crease." Above the arm is an arrow with "12 - 13 cm" indicating the length of the rectangle, and a curved arrow over the arm below the elbow reads 15 cm to indicate the width of the rectangle. An arrow pointing to the middle of the rectangle reads "Most important area (will become the urethra)." Text at the top of the image reads "Hair must be removed from the entire volar (palm side) of the forearm, wrapping onto the dorsal (back side) as necessary to clear a rectangular shape measuring 12 - 13 cm on long axis of forearm by 15 cm around the forearm." | QueerDoc Bottom Surgery intro
Hair removal guide for radial forearm flap phalloplasty.

Download our Questions To Ask Your Surgeon Form:

*** Disclaimer

Any of these articles are for entertainment, informational, and general educational purposes only and should not be considered to be healthcare advice or medical diagnosis, treatment or prescribing. The Content is not intended to be a substitute for professional medical care. Always seek the advice of your qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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I just had an appointment with queerdoc and it was amazing. I was using another telehealth company and queerdoc was much more individualized. The doctor actually took about 4 hours after our initial visit which was about an hour, to give me an individualized treatment plan. Answered all my questions throughout. Explaied why the treatment most likely didn't work the way I wanted it to with the last place I was with. I also like that the actual prescriptions are through whatever pharmacy you want to use, not just you have to pay us this no if and or buts. They also wrote me a letter of support for laser hair removal as hrt won't necessarily "stop" the hair growth. Also I l love that it's a sliding scale so you pay what you can afford within their set prices.
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I couldn't have felt happier and I'm finally able to start being the person I've always been meant to be after 27 years. Thanks to Dr. Lin-Fan Wang MD, she helped ease my everything during the process and I highly recommend her and she's accepting new patients. But practices only in certain states and does telehealth for it via ( https://queerdoc.com/ ). Very good service and no gatekeeping (https://www.reddit.com/r/MtF/comments/wn6tb8/can_officially_say_i_started_my_medical/)
RedditorReddit
They have Very thorough information. They were very understanding and even found a translator for my guardian. They care and They can help.
AnonymousEmail
Process was super quick, easy, and I felt extremely comfortable. I met with Dr. Wang and after discussing all of my options I had my prescription the same day less than two hours later. Especially in light of certain socio-political difficulties we are currently facing I cannot recommend QueerDoc enough!
FaeEmail
Hello, my name is Zoey and I'm a psychology undergrad attending the University of Wyoming. I've been receiving care from QueerDoc for the past few months, and it has hands-down been the best experience I've ever had with any organization. Growing up, it always seemed like getting HRT was an unattainable goal for me and it's been like magic to get a prescription without being dragged around by paperwork and red tape.
ZoeyQueerDoc Patient
Excellent treatment, thorough information, great experience overall
Gunnar GillGoogle Reviewer
They can help
Iris LunaGoogle Reviewer
Dr. Beal is empathetic, knowledgeable, responsive, and enthusiastic about helping their patients. I would recommend them to anyone!
QueerDoc PatientHealthgrades Reviewer
Crystal is a very good HRT doctor. She provides plenty of options for types of estrogen and T blockers instead of just spiro to suit people's wants and needs. She was very friendly when she talked to me and my family and I felt comfortable communicating with her about everything. Highly recommend her if you want treatment that is more personal and flexible to your needs :)
Miss MarioHealthgrades Reviewer
I am feeling very hopeful, safe and excited about this option and just want to let you know how grateful I am for your assistance and your research.
QueerDoc Care Navigation ClientMoon
Amazing bedside manor. Doctor bell made me feel heard and seen. I felt entirely comfortable disclosing information that normally I'd be apprehensive about sharing. I've never had a doctor talk smack about capitalism ever, and I truly felt seen when she did that. Thanks for everything doctor.
5 Star Reviewerat Sharecare.com
Dr. Beal does telehealth visits, which were extremely convenient before this pandemic and are now a necessity. This is especially helpful in that nothing about the appointment process was interrupted or changed by the pandemic. Dr. Beal is friendly, attentive, and well organized. Even between appointments, if I need to get something clarified or resolved, I get a timely response via the secure messaging system attached to the appointment portal. I always feel good about these visits.
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Great Medical services from the safety of your own home!
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Entirely professional, usage of telehealth was convenient for me, and they helped me, and continue to help me figure out a dosage and regime of medications that have massively improved my life. I cannot be more grateful.
QueerDoc PatientHealthgrades Reviewer
Very warm, welcoming and very attentive to my needs. Gave me choices and a chance to give input with regards my treatment.
QueerDoc PatientHealthgrades Reviewer
Dr Beal guided me through my gender reaffirming journey in a safe, informed, and compassionate manner.. I just can't thank them enough !!
QueerDoc PatientHealthgrades Reviewer
I'm so beyond happy someone told me about you. I think I've said this to you before, but I had given in. I had decided I was just going to suppress and hide my true self the rest of my life. I can't believe I held back all these years! Owning who you are and being yourself is one of the best things a person can do! I'm so happy! There are not words to convey it properly other than, thank you.
PhilipQueerDoc Patient

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