female-to-male gender-affirming surgery may involve the creation of a new penis. Learn more about what to expect from different forms of this surgery here. a new video uploaded by the european society of urology shows a detailed example of how male-to-female gender reassignment surgery works and yes, its far more complex than simply removing the penis. Genital surgical procedures for trans women (transgender or transsexual women) undergoing sex reassignment surgery, do not usually involve the complete removal of the penis part or all of the glans is usually kept and reshaped as a clitoris, and the skin of the. the reality, however, is that trans people seek many gender-confirming surgeries, and the most popular among men -- chest reconstruction-- does not even have to do with the genitals. Concerning genital reconstruction, the go-to image is of a surgery that creates a penis (or whatever a man may refer to this organ as). When procedures such as this are not possible, other procedures such as colovaginoplasty are used which may involve the removal of the penis. Some trans women have undergone penectomies, however this is much rarer. partial penis removal is just one of the many surgeries required for sexual reassignment. A penectomy may be either partial or radical, depending on the severity of the condition. A partial penectomy can be undertaken to save part of the penis, with only some portions, usually the tip or glans, requiring removal. orchiectomy may be a first step in gender confirmation surgery for transgender women. This man spent his early teens waiting for a penis to grow in. He shares his experiences and photos through the process of changing from a woman to a man.