Men on cross-sex hormones can face a similar fate: lower muscle mass, erectile dysfunction,[22] infertility, and higher risk of stroke,[23] blood clots, and a host of other potential issues.[24] The dangers of so-called sex-change surgery are often even more terrifying. “Bottom surgery” for men means vaginoplasty, where surgeons use penile tissue to create a man-made vagina. The most common technique is a penile inversion procedure, where the penile skin is used
