San Francisco
2299 Post St. Suite 207
San Francisco, CA 94115
(415) 530-5335
Los Angeles
1317 5th St #300
Santa Monica, CA 90401
(310) 751-5886
Monsplasty is a masculinizing gender-affirming surgery that reduces or reshapes the mons pubis, the tissue above the genitals. This procedure may be a fit for patients who want a flatter contour, less fullness in the area, or a surgical plan that better supports their broader embodiment goals.
At Align Surgical Associates in San Francisco and Los Angeles, California, we approach monsplasty with clear information, thoughtful planning, and recommendations grounded in your anatomy, priorities, and overall surgical plan.
Monsplasty focuses on reducing or reshaping the mons pubis to create a flatter, smoother contour. Depending on your anatomy and goals, it may involve removing excess fat, skin, or both.
During monsplasty, your surgeon makes an incision just above the pubic area and adjusts the tissue to reduce bulk and improve the shape of the mons. The incision is then closed carefully to support healing and keep scarring as discreet as possible.
Your plan starts with what matters most to you, such as function, sensation, privacy, recovery realities, and your day-to-day life.
We'll be transparent about what a technique can and can't reliably do for your anatomy and priorities, and we'll explain why we're recommending a particular approach.
We don't reduce care to a single concern or body area. We look at your goals, your comfort, and what's safest and most supportive for you overall.
We understand that many patients come in with complex past healthcare experiences and strive to create an environment where you always feel respected, welcomed, and seen at every step.
Gender-affirming surgery isn't a side offering at Align—it's our life's work.
Care and language change over time. We are dedicated to staying current, listening, and adapting.
Monsplasty may be a meaningful option for transmasculine, nonbinary, and other gender-diverse patients who want to reduce fullness in the mons pubis area, improve comfort in clothing, or create a more balanced contour. You might also consider monsplasty if excess tissue in the area affects how other gender-affirming procedures are planned or how their results appear.
Some surgeons "offer" gender-affirming surgery among many other services. For Align, it's the center of our life's work. Our 6 board-certified surgeons have committed themselves wholly to gender-affirming care and research. This means we aren't just helping patients reach their embodiment goals; we are helping to make their care better—better understood, better supported, and performed in the best way possible. Meet the specialists behind the transformations.
Recovery after monsplasty is usually manageable and fairly routine. Patients should expect swelling, bruising, mild discomfort, and activity restrictions during early healing. Many people return to lighter activities within days and are back to work or school in about a week, depending on the surgical plan.
Your surgeon will give you guidance on compression, incision care, and when it is safe to return to exercise or sexual activity.
Gender-affirming care, including monsplasty surgery, is often covered by insurance. If you are using insurance, we will guide you through the authorization process and what to expect.
If you prefer to pay out of pocket, we will give you a personalized quote based on your surgical plan, including whether your monsplasty is performed on its own or combined with other procedures.
Travel planning can involve a lot of moving parts, especially when you're coordinating around surgery. If you're coming to Align from outside the Bay Area or Los Angeles, we have resources specifically for you.
As with any surgical procedure, monsplasty carries risks, such as bleeding, infection, scarring, healing concerns, and changes in sensation. While the procedure is generally straightforward, it is still important to understand the risks and follow aftercare instructions closely.
It is also important to plan monsplasty as part of your overall goals. If it is being combined with other procedures, your surgeon will explain how that affects timing, healing, and the final shape of the area.
Monsplasty may be a good fit for patients who want less fullness in the mons area, improved comfort in clothing, or a surgical plan that supports their broader embodiment goals.
Yes. In some cases, monsplasty is performed with bottom surgery procedures such as metoidioplasty, phalloplasty, or urethroplasty.
Monsplasty does involve a scar, as the procedure requires an incision, typically placed just above the pubic area. Your surgeon will place and close it carefully to support healing and keep scarring as discreet as possible.
We recommend booking a consultation if you’re looking for clear guidance on whether monsplasty aligns with your embodiment goals, how it may affect contour and comfort, and whether it makes sense as part of a broader gender-affirming surgical plan.
When you’re ready, we’re here to help. Request an in-person or virtual consultation using the online form or call Align Surgical Associates to get started. We are proud to offer monsplasty for San Francisco and Los Angeles patients, as well as individuals traveling from outside California.
San Francisco Office: (415) 530-5335
Los Angeles Office: (310) 751-5886
Reviewed for medical accuracy by Michael Safir, MD, FPM-RS
