We have compiled a guide on how to get bottom surgery. This includes information on scheduling a consultation, securing insurance coverage, candidacy requirements for surgery and more. Some instructions are specific to your procedure. For example: If you would like to undergo a urethral lengthening to pee standing up, a vaginectomy (removal of the vaginal canal) needs to be performed to prevent complications. That means you will need to undergo a hysterectomy beforehand. The GCC does not require that patients undergo testosterone hormone replacement therapy (HRT) to undergo either a metoidioplasty or phalloplasty. That said, if you would like to maximize bottom growth before a metoidioplasty, we recommend that you wait 1-2 years on HRT before surgery. You …