What effects does it have?
- Lower body
Penis is removed
What is it?
Surgery to permanently remove the penis.
How long does it last?
The effects are permanent and cannot be reversed.
Penectomy is surgical removal of the penis. This does not include removal of the testes (testicles), which are removed by an orchidectomy.
A penectomy completely destroys the penis. After a penectomy has been carried out, vaginoplasty requires using non-standard techniques as there is no penile skin available, increasing risks and reducing the quality of the result.
If you wish to have new genitals created, the vulva (external part of the female genitalia) is created by labiaplasty and clitoroplasty. These operations are often carried out together with vaginoplasty (creation of the internal canal).
Preparing for a surgical procedure
Doing some preparation in advance can help make sure everything goes smoothly during your hospital stay and recovery. To help you avoid forgetting to do or buy something we have created a Getting ready for gender surgeries page.
Costs and funding
A operation in the UK to perform penectomy along with orchidectomy, labiaplasty and clitoroplasty costs around £11-12000.
If you have a formal diagnosis, the NHS will usually provide funding for penectomy and labiaplasty, orchidectomy, clitoroplasty and optionally vaginoplasty. You will normally need to meet the following conditions:
- persistent and well-documented gender dysphoria
- capacity to make fully informed decisions and to consent to treatment
- if significant medical or mental health concerns are present, they must be reasonably well controlled
- two medical opinions, usually at least one from a gender clinic, that surgery is appropriate
- 12 months’ continuous endocrine treatment as appropriate to the patient’s goals (unless the patient has medical contraindications or is otherwise unable to take hormones)
- at least 12 months’ living continuously in a gender role that is congruent with the gender identity 1.
- 1 Royal College of Psychiatrists (2013) “Good practice guidelines for the assessment and treatment of adults with gender dysphoria.” [online] Available from: https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/college-reports/college-report-cr181.pdf
Errors and omissions
Is there something missing from this page? Have you spotted something that isn't correct? Please tweet us or message us on Facebook to let us know, or file an issue on GitHub.
Page last updated: April 2019