Female to male gender reassignment is a long process that requires a series of surgical operations, hormone therapy, psychiatric observations and reviews. The reasons for transgender individuals to have surgery may include a conflict between the body in which they were born and their gender identity. Operations that are performed to provide individuals with the characteristics of the gender they identify with are defined as gender reassignment surgeries. Besides surgical practices to adapt the person to the features of the opposite sex in both male to female and female to male gender reassignment operations, hormone treatments are of great importance. Individuals who have decided to have gender reassignment procedures should prepare for this process meticulously and should be able to analyze what is needed. Gender reassignment processes should be handled with very detailed medical, psychological and legal dimensions, and surgery processes must be carried out under the control of expert specialists. In today’s conditions, it is important to carry out these processes where significant expenses will be in question with utmost care and sophisticated analysis, as well as meeting the expectations of the individual. What Are Female to Male Gender Reassignment Operations? Undergoing female to male gender reassignment is not considered as unusual in society as male to female gender reassignment, and trans men are exposed to less social pressure. As another important factor, the gender reassignment and affirmation process will allow the individual to feel psychological relief. In the process of female to male reassignment, some operations are required depending on the individual’s preferences and needs. These surgeries include mastectomy, hysterectomy and metoidioplasty. Apart from all these surgeries, it is crucial to ensure that the expectations of the individual are fulfilled in their gender reassignment process, which involves aesthetic surgical operations. Before and after all gender reassignment surgeries, hormone treatments also make important contributions to a comfortable reassignment and affirmation process. The experience of surgeons who are operating, the efficiency achieved in psychotherapy practices and the success of hormonal therapy are objectives for meeting the patient’s expectations to the highest extent. Among surgical procedures, metoidioplasty is usually the last process. Mastectomy is a method is that generally used in the treatment of breast cancer and cases where breast-conserving surgery is not applicable. Such surgeries, which are some of the most important stages of female to male gender reassignment, are performed for many different reasons. These operations are carried out by removing breast tissue in order to ensure the suitability of the individual’s image for the body he will have. Hysterectomy is a uterus removal surgery. Such operations that contribute to the solution of many gynecological problems are major surgical procedures. The uterus is removed through surgery in hysterectomy procedures, which are some of the most important stages of female to male gender reassignment surgeries. Metoidioplasty is an operation to ensure penile formation in individuals who want to have female to male transition. The operation, which takes advantage of the individual’s own body structure, is performed after clitoral growth is achieved by administering the hormone testosterone instead of creating an artificial organ. The patient is usually recommended at least 1 year of testosterone treatment before such operations. After penis construction surgeries, prosthetic testicles are placed to ensure the full resemblance of the male genital organs and eliminate aesthetic concerns. Penis construction with microsurgery practices is one of the methods of affirming one’s new gender identity. Although the natural reproductive function of these organs is not gained, it is possible to meet aesthetic needs with a penis created by transferring the appropriate tissues of the individual to the area. Psychological harmony is very important as a requirement for medical and legal status in both female to male and male to female gender reassignment processes. Before making such surgical decisions, an analysis of the process should be made by the individual who will have reassignment with the help of specialist physicians and psychologists. FTM Reassignment Procedures