some transsexual men have surgery. one surgery is removal of breasts (mastectomy). some transsexual men also get surgery on their genitals. one surgery is removal of the uterus and ovaries (hysterectomy). some may also get surgery on their outside genitals. one way takes their skin and tissue and makes it into a penis (phalloplasty). another way takes the clitoris (which grows bigger with hormones) and puts it where the penis usually is (metoidioplasty). the place where urine comes out (urethra) can be run through the new penis. the phalloplasty looks more like a penis. a metoidioplasty has more sexual function, but it is 5 or 6 centimeters long. some ways also make a scrotum from the labia. they may also have the vagina taken out or closed.