Relatively few female-to-male transgender people pursue “bottom surgery”—which probably is a good thing. I have talked to enough transgender-identified people who have suffered a botched phalloplasty (or had friends who did) to fuel a lifetime of nightmares. Whereas 36 percent of biological females identifying as “trans men” have had top surgery and another 61 percent desire it, according to the U.S. Transgender Survey of 2015, only 3 percent have had phalloplasty and only 13 percent even want it.26
