Female-to-male bottom surgery works with your existing tissue to create a penis. The full procedure is called a metoidioplasty and Dr. Jarial offers one surgery in this category:
A mons resection is, effectively, a procedure that moves the penis and scrotum forward to achieve a natural-looking penis (the created penis is often lower than desired and the scrotum may be between the legs). An incision is made, skin and fatty tissue from the mons pubis – the section immediately above the penis – is removed, the remaining skin pulled upward, and the incision closed. This lifts the penis to a more natural position and improves both visibility and accessibility. After a mons resection, you’ll be off work for a week, and it will take around four weeks for the majority of the healing to occur.