Genital Reconstructive Surgery for the Transmasculine Patient: An Overview for the OBGYN Practitioner

Transmasculine patients will often seek care with obstetrician-gynecologists before, during, or after genital gender-affirmation surgery. This review provides an overview of gynecologic and reconstructive surgical procedures related to masculinizing genital surgery and highlights essential considerations for the OBGYN provider.

The field of gender-affirming surgery continues to evolve, with a return of care to academic medical centers and a refocus on pooling data and evidence-based care. Nevertheless, the establishment of standardized surgical outcome measures and patient-centered metrics remains a work in progress. Encouraging advancements in urethroplasty techniques demonstrate notable efficacy in mitigating urethral strictures and fistulas.

Obstetrician-gynecologists are essential members of the surgical care team and provide preoperative, postoperative, and surgical services desired by transmasculine patients. We recommend that all OBGYN providers be familiar with the surgical options for transmasculine patients and follow the most up-to-date care guidelines as outlined by the American College of Obstetricians and Gynecologists and the World Professional Association for Transgender Health.