45 year old female to male transsexual who has been on male hormones for years.

A) Preoperation revealing normal female external genitalia with a large clitoris.
B) Postoperation after a metaidoioplasty and insertion of testicle implants into the labia majora. The urethra was not extended. Extra surgical techniques were used to straighten the new penis.
C) Postoperation- side view.

Figure A		Figure B
Figure C

This 43 year old FTM underwent metaidoioplasty with insertion of testicle implants and removal of labia minora.

A) Prior to surgery.
B,C,D) Two months after surgery.

Figure A                                                                Figure B

              Figure C                                                Figure D

29 year old FTM underwent metaidoioplasty with insertion of testicle implants and removal of labia minora.