Mexico Transgender Center is the ultimate destination for Female-to-Male transgender community. Dr. Ivan Aguilar specializes in Conjoined Bilateral Pedicled Groin Flap Phalloplasty, also known as Kim FTM Phalloplasty.
- Certified by Dr. Kim
- Many successful surgeries completed with extremely satisfied patients
- 3-stage procedure
- About 35% less expensive than other phalloplasty types
- Preferred method by many FTM patients
Gender-Affirming Surgical Procedures
Understanding Hysterectomy Options
At the Mexico Transgender Center, we understand that knowing exactly what happens during your procedure is vital for your peace of mind. A hysterectomy is the surgical removal of the uterus, but the specifics of what else is removed depend entirely on the type of procedure being performed.
Here is the breakdown of what is removed in each variation:
1. Total Hysterectomy (Most Common)
In this procedure, we remove the entire uterus and the cervix. This is the standard for most gender-affirming surgeries and many medical conditions.
- Removed: Uterus, Cervix.
- Remaining: Ovaries and Fallopian tubes (unless specified otherwise).
2. Partial (Supracervical) Hysterectomy
In some cases, a patient may choose to keep the cervix.
- Removed: Only the upper part of the uterus.
- Remaining: The cervix, ovaries, and fallopian tubes.
3. Radical Hysterectomy
This is typically performed in cases of cancer rather than gender-affirming care.
- Removed: The uterus, cervix, the upper part of the vagina, and the surrounding support tissues (parametrium).
4. Optional: Salpingo-Oophorectomy
While a hysterectomy technically only refers to the uterus, it is very common to perform a Salpingo-Oophorectomy at the same time.
- Oophorectomy: Removal of the ovaries.
- Salpingectomy: Removal of the fallopian tubes.
Hormonal Considerations
Note: If we remove your ovaries, your body will no longer produce estrogen or progesterone naturally, and you will enter surgical menopause. You will likely need to begin or adjust Hormone Replacement Therapy (HRT) immediately, as your primary source of natural hormone production is gone.
What stays behind?
Unless there is a specific medical reason or a radical surgery is performed, we do not remove the vagina. The top of the vaginal canal is surgically closed (creating a “vaginal cuff”), and the canal itself remains intact.
Why does the distinction matter?
If the cervix is removed, you no longer need routine Pap smears for cervical cancer screening.
It will take at least 6 months to complete all 3 stages of Kim Phalloplasty. Please be prepared to allocate time for each stage and the recovery.
Yes, absolutely! Our doctors are available for private consultations via WhatsApp (up to 30 minutes per patient, Please see schedule and instructions on how to join).
IMPORTANT: All patients will also have a private consultation with our doctors one day before surgery.
This video showcases actual Kim phalloplasty results delivered by the surgical team of Dr. Ivan Aguilar and Dr. Carlos Mendez.
Metoidioplasty
How We Perform Metoidioplasty
The foundation of a metoidioplasty is the clitoral growth achieved through Testosterone Replacement Therapy (TRT). Once significant growth has occurred (usually after 1–2 years of HRT), we use that tissue to create the neophallus.- Clitoral Release: We surgically release the ligaments (suspensory ligaments) surrounding the enlarged clitoris. This allows the shaft to “drop” and extend forward, maximizing its visible length.
- Urethral Lengthening (Optional): If your goal is to stand to urinate, we can lengthen the urethra. We use a combination of local tissue (from the labia minora or vaginal lining) to extend the urinary tract to the tip of the new phallus.
- Scrotoplasty: We use the tissue from the labia majora to create a scrotum. In a secondary stage (usually 3–6 months later), we can insert silicone testicular implants to provide a natural look and feel.
- Vaginectomy: If you choose urethral lengthening, we generally require a vaginectomy (removal and closure of the vaginal canal) to significantly reduce the risk of urinary complications like fistulas or strictures.
Why Choose Metoidioplasty?
Many of our patients prefer metoidioplasty over phalloplasty for several specific reasons:- Preserved Sensation: Because we use the original clitoral tissue, erotic and tactile sensation is fully preserved throughout the entire neophallus.
- Natural Erections: The neophallus is capable of becoming erect on its own through natural arousal, without the need for an internal pump or rod.
- No Large Donor Scars: Unlike phalloplasty, we do not need to take large grafts of skin from your arm or leg.
- Lower Complication Rate: It is a less invasive surgery with a shorter overall recovery time.
Important Considerations
- Size: The resulting phallus is typically between 4 and 6 cm (1.5 to 2.5 inches). While it creates a masculine profile, it is generally not large enough for penetrative intercourse.
- Urination: While most patients can stand to urinate after urethral lengthening, success depends on your unique anatomy and the final positioning of the phallus.
Recovery and Aftercare
- Hospital Stay: We typically require a 1 night stay in the hospital for monitoring.
- Catheter Use: If we perform urethral lengthening, you will have a catheter (either a Foley or a suprapubic tube) for about 2–3 weeks to allow the new urethra to heal without being irritated by urine.
- Downtime: You should plan for at least 4–6 weeks of light activity before returning to work or strenuous exercise.
Metoidioplasty: actual surgery photos (click to enlarge)
Kim Phalloplasty
Historically, one of the biggest hesitations patients have when considering phalloplasty is the large, visible donor scar usually left on the forearm (RFFF). Today, we are thrilled to discuss how we are changing that at the Mexico Transgender Center with our advanced approach to the Kim Phalloplasty.
Our New Approach: The Tummy Tuck Donor Graft. We are constantly evolving our surgical techniques to provide the best possible aesthetic and functional results. We are proud to announce that we now utilize an advanced abdominal flap technique—essentially taking the donor graft from a “tummy tuck” procedure—instead of the traditional forearm graft.
- No Arm Scars: You no longer have to worry about a highly visible, difficult-to-conceal scar on your arm. Your donor site is easily hidden beneath your underwear line, just like a standard abdominoplasty scar.
- Better Aesthetic Results: The abdominal tissue provides excellent girth and highly natural-looking skin texture for the neophallus. For many patients, it also comes with the added contouring benefit of a flatter, more masculine abdomen (the “tummy tuck” effect) as part of the graft harvesting process.
A Collaborative Surgical Powerhouse. Phalloplasty is a massive, multi-stage undertaking that requires perfect harmony between cosmetic reconstruction and urological function. This is where the MTC team truly shines.
Your surgery is a collaborative effort led by Dr. Carlos Mendez (our lead reconstructive specialist who expertly handles the tissue grafting, blood supply, and aesthetic shaping) and Dr. Ivan Aguilar (our Board-Certified Reconstructive Urologist who specializes in the complex plumbing required for urethral lengthening and function). Together, they ensure that your new anatomy looks natural and functions safely.
Surviving and Thriving in Recovery Phalloplasty recovery is intense. You will have limited mobility, grafts to protect, and catheters to manage. You cannot do this alone in a standard hotel, which is why our Recovery Ecosystemis fully integrated into your package.
- After your stay at our internationally accredited partner hospital, you will be moved to our luxury, private recovery facility.
- Our specialized, bilingual nursing team will be by your side 24/7 to manage your pain, monitor your graft health, empty your catheters, and help you safely transition into the healing phase.
World-Class Care, Within Reach Because of the complexity, phalloplasty in the US or Canada can easily cost upwards of $100,000 out-of-pocket. At MTC, we offer this life-changing procedure at 50% to 70% less than US prices. We also offer 100% US-friendly financing to help you achieve your goals without financial ruin.
Ask away and Dr. Mendez and Dr. Aguilar will be happy to answer! Photos are available upon request.
Looking to connect with our past patients who received a similar surgery at Mexico Transgender Center?
Ask us to join our friendly WhatsApp group TODAY!
