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
Scrotoplasty is a masculinizing gender-affirming surgery that creates a scrotum. It is often performed as part of a broader bottom surgery approach. It may also be considered on its own depending on your anatomy, goals, and overall surgical preferences.
At Align Surgical Associates in San Francisco and Los Angeles, California, we approach scrotoplasty with clear information, thoughtful planning, and recommendations grounded in your embodiment goals, anatomy, and priorities.
Scrotoplasty is a surgical procedure that creates a scrotum, often using tissue from the labia majora. In gender-affirming care, it is commonly included in transmasculine bottom surgery for patients who want a scrotal contour as part of their surgical plan.
Scrotoplasty may be performed with or without testicular implants. Some patients choose implants for more fullness, while others prefer to leave them out or make a decision later.
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.
Scrotoplasty may be a meaningful option for transmasculine, nonbinary, and other gender-diverse patients who want a scrotum as part of their bottom surgery. It may also be considered by patients who want to discuss staged decisions around implants, contour, or how this procedure fits with metoidioplasty or phalloplasty.
Testicular implants are optional, and not every patient wants them. Some people choose implants as part of their initial scrotoplasty surgery, while others prefer to wait until after healing or decide not to include them at all.
Because scrotoplasty is often part of a larger reconstructive pathway, consultation is important. Your board-certified Align surgeon can help you understand timing and what to expect in terms of look and feel.
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 scrotoplasty usually involves soreness, swelling, bruising, activity restrictions, and careful wound care during early healing. If scrotoplasty is combined with another procedure, recovery may be more involved than it would be on its own.
Your surgeon will give you guidance on incision care, hygiene, activity limits, and when it is safe to return to work, exercise, or sexual activity.
Gender-affirming care, including scrotoplasty 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 the details of your surgical plan, including whether your scrotoplasty is performed on its own or with other procedures, and whether implants are part of the plan.
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, scrotoplasty carries risks, such as bleeding, infection, scarring, healing concerns, and changes in sensation. If testicular implants are included, there may also be implant-specific risks such as shifting, poor healing, or the need for later revision.
Scrotoplasty may also be performed in stages, depending on your goals and whether implants or additional refinements are part of your care. Your surgeon will help you understand how staging can affect timing, healing, and overall results.
Yes. Testicular implants are optional, and patients can choose to add them at a later date.
Some patients have implants placed during scrotoplasty, while others wait until a later stage after healing.
Yes. Scrotoplasty is often performed as part of metoidioplasty or phalloplasty, depending on the overall surgical plan.
We recommend booking a consultation if you’re looking for clear guidance on whether scrotoplasty aligns with your embodiment goals, whether you want to consider testicular implants, and how this procedure fits into your broader bottom surgery 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 scrotoplasty for San Francisco and Los Angeles patients, as well as individuals traveling from outside of California.
San Francisco Office: (415) 530-5335
Los Angeles Office: (310) 751-5886
Reviewed for medical accuracy by Michael Safir, MD, FPM-RS
