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Orchidectomy

Removal of the testicles

Orchiectomy is a surgical procedure that removes the testicles. It may be performed on its own, as a preparatory step before more complex genital surgery or combined with a scrotectomy. It significantly reduces testosterone production and helps align the body with gender identity.

FtM or non-binary individuals wishing to reduce testosterone without heavy medication.

Step prior to full genital surgery.

Physical or psychological discomfort related to testicles.

Patients already on hormone therapy (e.g., testosterone) who wish to stop anti-androgens.

Small incision in the scrotum.

Surgical removal of one or both testicles.

General or local anesthesia with sedation.

30-60 minutes.

Day surgery.

Mild to moderate discomfort, controlled with pain medication.

Compression dressing for a few days.

Swelling and bruising for 1–2 weeks.

Return to work in 5–7 days.

Sports and physical activity after 3–4 weeks.

Elimination of testicular hormone production.

Improved alignment with gender identity.

Permanent, irreversible outcome.