Orchiectomy

Orchiectomy at The Standard of Modern Aesthetics (SOMA) is a highly personalized surgical procedure that removes one or both testicles to support gender-affirming goals, medical needs, or long-term wellness objectives.

Personalized Orchiectomy Surgery

At The Standard of Modern Aesthetics (SOMA), orchiectomy is performed with a focus on individualized care, surgical precision, and patient-centered support. Whether pursued as part of a gender-affirming transition or for other medical reasons, orchiectomy can play an important role in helping patients align their physical health and appearance with their personal goals. Every treatment plan is customized to the patient's needs, anatomy, and long-term objectives to ensure a thoughtful and supportive surgical experience. Schedule your consultation with SOMA to learn whether orchiectomy may be an appropriate option for your goals.

What Is an Orchiectomy?

An orchiectomy is a surgical procedure that involves the removal of one or both testicles. The procedure may be performed for a variety of reasons, including gender affirmation, hormone management, certain medical conditions, or personal preference.

For many transgender women and transfeminine individuals, orchiectomy may serve as a standalone gender-affirming procedure or as part of a broader transition plan. The procedure can significantly reduce testosterone production and may decrease the need for certain hormone-suppressing medications.

Benefits of Orchiectomy

Orchiectomy can provide both physical and emotional benefits depending on the patient's goals.

Reduces testosterone production within the body.
May reduce reliance on anti-androgen medications.
Supports gender-affirming transition goals.
Can improve comfort and body congruence.
Provides a permanent surgical solution.
May simplify future gender-affirming treatment plans.

Reasons Patients Choose Orchiectomy

Patients pursue orchiectomy for a variety of personal, medical, and gender-affirming reasons.

Gender-Affirming Care

Many transgender women choose orchiectomy as part of their transition process to help align their physical characteristics with their gender identity.

Hormone Management

The procedure can reduce testosterone levels naturally, potentially allowing for adjustments to hormone therapy regimens under medical supervision.

Personal Comfort

Some patients seek orchiectomy to improve physical comfort and reduce gender dysphoria related to the genital area.

Long-Term Transition Planning

Orchiectomy may be performed as a standalone procedure or as part of a comprehensive gender-affirming surgical plan.

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How Orchiectomy Is Performed

The procedure is performed using techniques designed to minimize visible scarring while prioritizing safety and long-term outcomes.

Surgical Planning

Your surgeon will evaluate your goals, medical history, and anatomy to develop a personalized surgical plan.

Procedure

A small incision is typically made within the scrotal area to remove the testicular tissue while preserving surrounding structures as appropriate.

Closure

The incision is carefully closed to support proper healing and minimize visible scarring.

Recovery

Most patients return home the same day with detailed postoperative instructions and follow-up care guidance.

Your Consultation

Your consultation is an important opportunity to discuss your goals, ask questions, and develop a personalized treatment plan. During this appointment, your provider will review your medical history, transition goals if applicable, current medications, and overall health. The surgical process, recovery expectations, and potential outcomes will be discussed in detail to ensure you feel informed and confident moving forward.

“Dr. Rogers is the most empathic plastic surgeon in Beverly Hills.
He listens intently and responds to questions with clarity and insight.
He is also a gifted surgeon with artistic knowledge and precision that is unrivalled in this city full of egocentric surgeons. Thank you, Dr. Leif Rogers.”

— Dr. Joseph B.

Who Is a Good Candidate for Orchiectomy?

Candidates for orchiectomy are generally individuals seeking a permanent reduction in testosterone production or pursuing gender-affirming surgical care.

Ideal candidates typically:

Are in good overall health.
Have realistic expectations about the procedure.
Understand the permanent nature of surgery.
Have carefully considered their long-term goals.
Meet any applicable medical or gender-affirming care guidelines.

A comprehensive consultation is necessary to determine candidacy.

What to Expect During Recovery

Recovery following orchiectomy is generally straightforward for most patients.

Early Healing

Mild swelling, bruising, and discomfort are common during the initial recovery period.

Activity Restrictions

Patients are typically advised to avoid strenuous activity and heavy lifting while healing progresses.

Follow-Up Care

Routine follow-up appointments allow your provider to monitor healing and address any concerns.

Long-Term Recovery

Most patients gradually return to normal activities as healing continues over the following weeks.

Results of Orchiectomy

Results are permanent and vary based on the patient's individual goals and treatment plan. For transgender patients, orchiectomy often serves as an important step in the gender-affirmation process while helping support hormone management goals. Many patients report improved comfort, reduced dysphoria, and greater alignment between their physical characteristics and personal identity.

A Personalized Approach to Gender-Affirming Care

At SOMA, we understand that every patient's journey is unique. Orchiectomy is never approached as a one-size-fits-all procedure. Instead, we focus on understanding your goals, providing thorough education, and creating a supportive environment where you feel respected and empowered throughout every stage of care. Our team is committed to delivering compassionate, individualized treatment that prioritizes both physical outcomes and emotional well-being.

Why Choose SOMA?

SOMA provides gender-affirming surgical care through a personalized, patient-centered approach focused on safety, respect, and individualized treatment planning. Our team understands the deeply personal nature of gender-affirming procedures and works closely with each patient to ensure a supportive experience from consultation through recovery.

Through advanced surgical expertise and compassionate care, SOMA helps patients pursue outcomes that align with their identity and long-term goals.

Orchiectomy Frequently Asked Questions

Is orchiectomy considered a gender-affirming procedure?

Yes. Orchiectomy is commonly performed as a gender-affirming procedure for transgender women and transfeminine individuals. It can reduce testosterone production and may be pursued as a standalone procedure or as part of a broader gender-affirming surgical plan.

Will I still need hormone therapy after an orchiectomy?

Hormone therapy needs vary from patient to patient. While orchiectomy significantly reduces testosterone production, many transgender patients continue estrogen therapy following surgery. Your hormone management plan should always be guided by your healthcare provider.

How long does recovery take after an orchiectomy?

Most patients can return to light daily activities within a relatively short period, though healing continues over several weeks. Recovery timelines vary based on individual factors, overall health, and adherence to postoperative instructions.

Will there be visible scarring after orchiectomy?

The procedure is typically performed using small, carefully placed incisions designed to minimize visible scarring. While all surgery results in some degree of scarring, scars generally fade significantly as healing progresses.

Can orchiectomy be combined with other gender-affirming procedures?

Yes. Depending on your goals and treatment plan, orchiectomy may be performed as a standalone procedure or incorporated into a broader gender-affirming surgical journey. Your provider can discuss the options that may be most appropriate for your individual needs.