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
Scrotectomy is a feminizing gender-affirming surgery that removes the scrotal sac. Because this procedure removes tissue that may be relevant to future genital reconstruction, it is important to understand how it fits into your surgical plan before moving forward.
At Align Surgical Associates in San Francisco and Los Angeles, California, we approach scrotectomy with clear information, thoughtful planning, and recommendations grounded in your embodiment goals.
A scrotectomy is a surgical procedure that removes the scrotal tissue. Depending on your treatment plan, it may involve removal of the scrotal skin on its own or alongside other bottom surgery procedures.
Your board-certified Align surgeon will plan your procedure based on your anatomy, the amount of tissue involved, and whether preserving options for future reconstruction is important to you.
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.
Scrotectomy may be a meaningful option for transgender women, nonbinary individuals, and other gender-diverse patients who want the scrotal sac removed as part of their affirming care.
Patients who may want vaginoplasty or vulvoplasty later should be especially thoughtful before choosing scrotectomy, as the scrotal tissue is often used in genital reconstruction. In some cases, orchiectomy may be a better option if you are considering future genital reconstruction.
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 scrotectomy involves soreness, swelling, activity restrictions, and careful wound care during the early healing period. Your surgeon will give you guidance on hygiene, incision care, and when it is safe to return to work, exercise, and other routines.
Gender-affirming care, including scrotectomy 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 scrotectomy is performed on its own or combined with another procedure.
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, scrotectomy carries certain risks, such as bleeding, infection, scarring, healing concerns, and changes in sensation. While the procedure is generally safe when performed by experienced surgeons, it is still important to understand the potential for complications, even when they are uncommon.
An equally important consideration is how scrotectomy fits into your future surgical plans. If there is any chance you may want vaginoplasty or vulvoplasty later, your surgeon will explain how removing scrotal tissue could affect those options and whether future reconstruction may require grafting or a more complex surgical plan.
No. Once the scrotal tissue is removed, it cannot be naturally replaced. That is why it is important to consider how this decision could affect future reconstructive options.
Scrotectomy removes the scrotal sac, while orchiectomy removes the testicles. They can be performed separately or together, depending on your goals and surgical plan.
Sometimes, yes, but planning may be more complex if the scrotal tissue is removed. In some cases, additional grafting or other reconstructive strategies may be needed.
We recommend booking a consultation if you’re looking for clear guidance on whether scrotectomy aligns with your embodiment goals, how it may affect future vaginoplasty or vulvoplasty planning, and whether another procedure may be a better fit for your longer-term 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 scrotectomy 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
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