Can I undo phalloplasty?
Yes—several detransitioned women have already done it, and surgeons at major hospitals are willing to help. The key is to understand what can be reversed, who can do it, and what the process looks like.
1. Reversal is possible, but it is staged and multi-disciplinary.
The most common plan involves a urologist undoing the urethral lengthening while a plastic surgeon removes the abdominal (or forearm) phallus and closes the donor site. One patient at Massachusetts General Hospital was told, “she can re-open the area and reverse the urethral lengthening, and come together with a plastic surgeon to remove the phallus on my belly area” – ThatGirlChyna source [citation:b2ccac51-33e9-4266-8fec-53444f62a3ae]. The same pattern—urology plus plastics—has been described by others seeking reversal.
2. Few surgeons advertise this work; most referrals point to one specialist.
Across the threads, only Dr. Miroslav Djirdjevic at Mount Sinai, New York, is repeatedly named as someone who “specializes in reconstructive genital surgery” after prior gender-affirming procedures – handygal-DIY source [citation:0f97fb5c-97df-4551-8426-06aaa77e11cc]. Patients usually contact him directly by e-mail to arrange consultation.
3. Complexity rises if scrotoplasty or implants were added.
Women who never had scrotoplasty describe a simpler reversal: excise the phallus and reroute the urethra. Once testicular implants or a constructed scrotum exist, extra steps—removing implants, dealing with scarred labial tissue—make the operation longer and recovery harder – nwtae source [citation:60aee085-7240-464f-8032-1f244c780ca6].
4. Urinary function is the main surgical worry.
Surgeons caution that the biggest unknown is whether “everything is going to work properly” after the urethra is shortened and repositioned – ThatGirlChyna source [citation:b2ccac51-33e9-4266-8fec-53444f62a3ae]. Some patients need additional urological procedures later.
5. Insurance and logistics can take months.
Even when the surgical team is ready, patients report “jumping through hoops with insurance” and waiting several months for operating-room time – Antiquetatedfish source [citation:9a4f1e8d-b12d-4746-936f-f4ca17534280].
Bottom line
Phalloplasty can be undone, but it is not a single-step procedure. Expect a combined urology/plastics operation, plan for possible urinary follow-ups, and start by contacting either your original surgeon or Dr. Djirdjevic at Mount Sinai.