AMAB-to-neutrois GRS


While nearly anyone who has heard of anything regarding transgender issues has heard of the more “traditional” GRS for AMAB people (used to construct a neovagina and labia from existing penile/scrotal tissues), this procedure does not cover the bases for every AMAB person. In particular, a growing number of non-binary-identified people — in particular, ones with a neutrois identity — are much more interested in simply eschewing their external genitalia entirely.

Although controversial, there are now a few surgeons who will, under the right circumstances, provide this sort of surgery. In January of 2017 I had this procedure done with Dr. Peter Davis in Palo Alto.


This is a thing that I did because it was right for me, and I knew very well that it was what I needed. I am providing this information as a helpful resource for those who need it. There isn’t any one right way to be trans or nonbinary, and what’s right for me isn’t necessarily right for anyone else.


2020-04-16: I have added some frequently-asked questions to the FAQ section. Please check that before posting a comment! Thanks.

2020-12-12: Updated the surgeon list.

2021-05-26: Added some updates regarding post-operative care.

2022-09-01: Added some notes on pronouns, cleaned up some awkward phrasing, and updated some stuff regarding my long-term healing.

2022-09-09: Added some information about AFAB-to-neutrois (aka FtN) practitioners.

2023-01-09: As noted in the comments, there’s some pretty big news: WPATH 8 recently released, and this comes with a whole bunch of new guidelines for these surgeries! Hopefully this article will soon be a relic of the past, and general information is much more freely available to all who want it. Thanks to reader WheelyCurious for bringing this to my attention!

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