Phalloplasty Surgery in Iran

Overview

Phalloplasty is a complex reconstructive surgical procedure designed to create a functional and natural-looking penis. It is most commonly performed for Female-to-Male (FTM) transgender individuals as part of gender affirmation surgery or for patients who have lost penile tissue due to trauma, cancer, or congenital conditions. Iran is widely recognized as one of the leading destinations in the Middle East for gender affirmation and reconstructive surgeries, offering advanced techniques, expert surgeons, and comprehensive patient care at international standards.

Purpose of Phalloplasty

Phalloplasty serves both gender-affirming and reconstructive purposes:

1. Gender Affirmation (FTM):To help transgender men achieve physical alignment with their gender identity, allowing for urination while standing and sexual function.

2. Reconstructive Surgery: To rebuild the penis after injury, disease, or congenital absence (micropenis or penile agenesis).

Surgical Techniques

Phalloplasty can be performed using several advanced techniques, depending on patient preference, anatomy, and medical history. The most commonly used methods include:

• Radial Forearm Free Flap (RFFF) Phalloplasty: Uses skin and tissue from the forearm to create the shaft and urethra of the penis. It provides excellent sensation and cosmetic results.

• Anterolateral Thigh (ALT) Flap Phalloplasty: Uses tissue from the thigh; suitable for patients who prefer less visible scarring on the arm.

• Abdominal Flap Phalloplasty: Utilizes lower abdominal tissue, often chosen by patients who want a less invasive approach or do not require urethral reconstruction.

Additional procedures such as Scrotoplasty(creation of a scrotum) and Urethral Lengthening are often performed simultaneously or in subsequent stages.

The Procedure

Phalloplasty is a multi-stage surgery typically performed under general anesthesia by a multidisciplinary team, including plastic, urology, and reconstructive surgeons. The main stages may include:

• Harvesting donor tissue

• Creating the penile shaft

• Reconstructing the urethra for urination

• Attaching blood vessels and nerves for function and sensation

• Optional insertion of penile prosthesis at a later stage to enable erection

The surgery requires precision and experience to ensure both functional and aesthetic success.

Recovery and Aftercare

The recovery process can take several weeks, depending on the technique and additional procedures involved. Patients usually stay in the hospital for 5–7 days for monitoring and wound care. Post-surgical recovery includes:

• Regular wound cleaning and dressing changes

• Avoiding strenuous activity for at least six weeks

• Close follow-up appointments to monitor healing and functionality

Psychological and emotional support is also an important part of the recovery journey, helping patients adapt to their new physical identity with confidence.

Why Choose Iran for Phalloplasty

Iran has emerged as a regional leader in gender affirmation and reconstructive surgeries, offering:

• Highly experienced and board-certified surgeons specialized in complex genital reconstruction

• Modern hospitals equipped with advanced surgical technologies

• Ethical, private, and culturally sensitive care for transgender patients

• Comprehensive travel assistance including visa support, translation, accommodation, and transportation

Conclusion

Phalloplasty represents a transformative and empowering step for individuals undergoing gender affirmation or reconstructive treatment. With Iran’s world-class medical expertise, advanced facilities, and compassionate patient care, international clients can achieve life-changing results in a safe, professional, and respectful environment.

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