Originally performed on a cis man in 1936 who had lost his penis then performed onto a trans man named Michael Dillon in 1946. In modern day, Phalloplasty is mainly pursued by trans men who desire a penis due to genital dysphoria apart of their transition but may also be performed on cissexual men who had lost their penis due to erectile dysfunction, accidents, trauma, or penile cancer, subsequently resulting in a penectomy (removal of the penis).
In trans men, it involves an hysterectomy, oophorectomy, salpingectomy, and vaginectomy first then involves urethra lengthening and rerouting it through the phallus to allow urination through the reconstructed penis while standing. Then a penile implant whether a rod or inflatable prosthesis for erections and penetrative sex.
Medical tattooing may be performed if one desires their penis to appear natal.
Phalloplasty is generally considered to be much more complicated and less technologically advanced compared to vaginoplasty.
Examples
Anatomy depicting a cross-section view of between a cis woman and phalloplasty and metoidioplasty in a trans man.
See also
metoidioplasty: Alternate sex reassignment surgery option for trans men
