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all right this is a video inspired by a very common question I get from you guys and that is tell me more about bottom surgery for folks who are signed female at Birth so how do we make the mid Parts it can be super difficult to understand so in this video weamp;#39;re going to simplify it and um help you understand you know to get an idea overall of the options uh that are available because there are many um my name is Dr Cy Geller Iamp;#39;m a plastic and reconstructive surgeon based here in Miami Florida and uh I have a special interest in gender affirmation uh surgery so two broad categories when we think about how to create the male parts we can either make the male parts from whatamp;#39;s already down there because once youamp;#39;ve been on testosterone for a while there is some what we call bottom growth or changes in the erectile tissue uh down there and we can use these changes to enhance the anatomy down there and make it uh appear more uh like natural masculine anatomy