This technique is gender assignment surgery from female to male. It aims to create a neophallus from extragenital tissue. It is a technique developed for the provision of erectile and urinating by placing a penile implant in the neophallus and the creation of the urination feature. After drawings of the appropriate size, the skin is taken from the back muscle and the MLD wing is collected and shaped into a pipe. It is carried out in 2 stages. In the second stage, an implant is inserted into the phallus, which is created to ensure erections. Latissimus dorsi (MLD) flap is part of the back muscle and vessels, a structure that contains nerves. A thin muscle strip is collected and a cylindrical structure is created. The resulting scar is a scar that extends down the lower ridge from under the arm. The donor area where the part is taken can be closed with incision or skin graft. Latissimus Dorsi technique gives a penis of 13-16cm in length and 10-12cm in thickness.


Primary urethral can be performed in two stages with extension or secondary urethral extension.

Penile Implant

After the creation of neophallus, a penile implant is needed to achieve erections. Second These implants, which are put into the phallus at the stage, can be inflated and divided into three-part inflatable implants and three-part inflatable implants. It is recommended that patients who undergo surgery should learn about the models and brands of implants.


  • Located in less visible place
  • It’s an area with fewer feathers or no feathers.
  • It’s enough for penetration.
  • The erogenous area is preserved, ejaculation is possible.
  • The feeling is less than the RFF forearm technique.

Surgical interventions with this technique aim to create a new penis for the individual by making use of Extragenital tissue. Implant is placed in the new penis created, the individual is provided to be on the erection and pee standing up.

After the application of Latissimus Dorsi, the individual who passed is provided with a penis 13-16 cm long and 10-12 cm thick.

Eliminating aesthetic concerns are important advantages as they provide the dimensions needed during sexual intercourse and are less visible.

Feeling may be lower than the forearm (RFF) technique.

Implants are placed for the individual to provide an erection. Variables such as inflatable and semi-rigid, two-piece inflatable implant and three-piece inflatable implant can be used. Since the erogenous area is protected during the operation, the individual also has the function of ejaculation.

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