Hysterectomy is often, though not always, an important aspect of the transmasculine experience.

It normally includes removal of both ovaries and fallopian tubes (salpingo-oophrectomy). The procedure can be performed from below (vaginal).  An abdominal hysterectomy is also possible, particularly when there is abdominal pathology such as adhesions or endometriosis.

Dr. Bowers has more than 20 years’ experience in surgical gynecology. She offers vaginal and abdominal hysterectomy.

Any of the hysterectomy techniques can be combined with either a Simple or a Ring Metoidioplasty, with or without vaginectomy (removal and closure of the vagina).

If a vaginectomy is performed, it will allow for a more natural appearance of the scrotum when (if) testicular implants are placed.  While many men do desire to retain the vagina for sexual purposes, others are just glad to get rid of it. It’s your body and we are here to support you!

Fertility preservation

Our practice understands that some gentlemen prefer to retain their internal reproductive organs. Reproductive options also including egg preservation are among topics freely discussed with clients.

Hospital stay

Hospital stay can vary from less than 24 hours up to 2 nights depending upon the surgical approach.


Recovery can vary but is normally 4-6 weeks.


Cost is nominal with a low inclusive price negotiated for self-pay patients at Mills-Peninsula Medical Center. Discuss with Robin.


The WPATH Standards of Care do require letters of recommendation for FTM persons seeking hysterectomy. However, Dr. Bowers is aware that 600,000 American women undergo hysterectomy each year without such approvals. As such, they do not feel that letters are necessary for FTMs who are well-informed and well into their transitions. Each transgender man is an individual case; please feel free to discuss your transition and medical circumstances with Robin to determine what letters of recommendation might be required. We do not set requirements as hoops to jump through. That said, letters of necessity can act as safeguards that assure an informed decision.

More Information

See  the FTM Surgery Info Yahoo Group