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.
Conjoined Bilateral Pedicled Groin Flap Phalloplasty (Kim Phalloplasty)
Conjoined Bilateral Pedicled Groin Flap Phalloplasty, also known as Kim FTM Phalloplasty, is a 3-stage procedure that serves as a less expensive alternative to microsurgical phalloplasties utilizing conjoined bilateral pedicled groin flaps.
The final penis size depends on the patient but averages just over 4 inches long by 1.75 inches wide. Scars are easily concealed by underwear or a swimsuit. Patients can stand to urinate, and sexual intercourse with a partner is also possible. Erotic sensation and orgasm continue to be provided by the clitoris preserved at the base of the neophallus. Patients report tactile sensation in the bottom half of the penis.
Implantation of a malleable erectile prothesis is optional, but inflatable devices are not possible.
The procedure is named for its founder, Dr. Kim of Seoul, Korea. Dr. Kim studied extensively with Professor Sava Perovic MD PhD (now deceased), who was a critical figure in the advancement of FTM surgeries. Before Dr. Rados Djinovic joined the Sava Perovic Team, Dr. Kim was the surgeon who accompanied and supported Professor Perovic when he demonstrated FTM genital surgeries in other countries.
Understanding the Procedure and Results
The Kim Phalloplasty is an excellent option that provides highly functional and aesthetic results. Because it is a more streamlined technique, it is typically about 35% more affordable than other phalloplasty methods (such as MLD or Radial Forearm), making it a great value without compromising quality.
- Anatomy and Size: The resulting neophallus averages about 10.5 cm (4.1 inches) in length and 4.5 cm (1.8 inches) in diameter. While final dimensions are dictated by your unique body type rather than a selectable size, the results are well within the average range for natal males.
- Functionality: The procedure allows for standing urination (STP) and provides a larger overall result than a metoidioplasty. It is also designed to comfortably accommodate a malleable penile prosthesis (though it is less suited for an inflatable one) to enable erections and sexual intercourse.
- Scarring: One of the primary benefits of the Kim Phalloplasty is that donor site scarring is significantly less noticeable than with a Radial Forearm Phalloplasty. Scars are typically entirely concealed by underwear or a swimsuit.
Medical Requirement
Please note that for your safety and the best possible surgical outcome, your BMI must be under 32 to qualify for this procedure.
Staging and Costs
This is a three-stage procedure, uniquely sequenced to optimize your healing. The total base cost for all three stages is $28,999 USD. Please note that each stage must be separated by at least three months.
- Stage One: Phalloplasty and Testicular Implants ($10,999 USD)
Details: Bilateral groin flap phalloplasty and testicular prosthesis implantation.
Timeline: 3 hours of surgery, 2 nights in the hospital, and a 10-day hotel stay. - Stage Two: Penile Prosthesis and Urethra Pre-fabrication ($10,000 – $22,000 USD)
Details: Penile prosthesis implantation, vaginectomy, and penile urethra pre-fabrication using vaginal mucosa. (Please note: About 40% of patients choose to pursue this implant stage, and it often results in slight gains in overall size).
Cost Variance: $10,000 for a malleable implant; $22,000 for an inflatable implant.
Timeline: 4 hours of surgery, 2 days in the hospital, with a total recovery time of about two weeks. - Stage Three: Urethral Realignment and Glans Reconstruction ($8,000 USD)
Details: Final urethral connection and cosmetic shaping of the glans.
Timeline: 4 hours of surgery and 2 nights in the hospital. We highly recommend allocating at least two weeks for recovery before undertaking the physical challenges of air travel.
Typical Itinerary (Stage One)
To make your trip as stress-free as possible, we handle your local logistics:
- Day 1: Airport pickup, hotel registration, and an afternoon doctor’s consultation to finalize the surgical plan.
- Day 2: Hospital admission and surgery.
- Day 4: Discharge from the hospital and transportation back to your hotel for recovery.
- Day 6: Follow-up doctor’s visit to safely remove drainage catheters.
- Day 10: Airport drop-off for your journey home.
It will take at least 6 months to complete all 3 stages of Conjoined Bilateral Pedicled Groin Flap Phalloplasty, also known as Kim FTM 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
At Mexico Transgender Center, we specialize in Metoidioplasty (often called a “Meta”), a gender-affirming genital surgery for transmasculine and non-binary individuals. Our goal with this procedure is to create a functional, sensitive, and aesthetically masculine neophallus using your existing tissue.
Here is a detailed description of how we approach this procedure and what you can expect:
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.
At the Mexico Transgender Center, we work closely with you to tailor these surgical components to your specific goals and comfort level.
Metoidioplasty: actual surgery photos (click to enlarge)
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