Each transman has his own individual idea of what gender affirmation means. It may include hormones, surgery, a new name, or it might not entail any of these options. Our goal is to provide you with the tools you need to express your authentic identity and feel secure in your body. Metoidioplasty bottom surgery can be performed to create a neophallus (penis), offering you the opportunity to feel more aligned with your ideal self-image.