Surgical considerations for genital reconstruction options for gender-diverse individuals assigned male at birth

Information available on gender-affirming surgeries is often limited to those classified by the binary standard of masculinizing or feminizing genital aesthetics. Scant information is available on surgical options for non-binary and gender-diverse individuals who may opt for less frequently requested surgeries. We discuss preoperative counseling, surgical techniques, and postoperative care of such procedures, including a discussion of scrotectomy, penile-sparing vaginoplasty, and nullification procedures for non-binary and gender-diverse individuals assigned male at birth (AMAB). Frequent and open discussions are key to helping manage expectations of surgical outcomes. Creating an inclusive and safe environment is pivotal in understanding the needs and goals of all gender-diverse patients.