Monsplasty

At Align Surgical Associates, we offer monsplasty, a surgical procedure that reduces and reshapes the mons pubis area. [1] This gender-affirming monsplasty surgery can help individuals feel more comfortable in their bodies by flattening or contouring the mons area to better align with their gender identity and personal goals.

Our experienced surgical team is here to support you with compassionate, affirming care. We understand that every body is unique, and we provide personalized treatment plans in a welcoming and inclusive environment where trans, nonbinary, and gender-diverse individuals are respected and celebrated.

Editor’s note: In our article, we may use terms that are culturally outdated, as many of our patients still rely on them when searching for information. We want to ensure we remain visible to this audience as well.

Choosing Align Surgical for your gender-affirming care means entrusting your health and identity to a skilled, compassionate team. Hear firsthand from patients who’ve experienced expert care from our renowned doctors.

Monsplasty is a type of mons pubis surgery that reduces or reshapes the fatty area above the genitals, known as the mons pubis. This area can naturally appear more prominent due to genetics, weight, age, or hormones. Monsplasty helps flatten and contour this region by removing excess fat and skin, creating a smoother and more balanced appearance.

For many trans, nonbinary, and gender-diverse individuals, the appearance of the mons pubis can be a source of gender dysphoria. A fuller or more prominent mons area may not align with how someone sees or feels about their body. Monsplasty can help reduce this discomfort by creating a flatter, more affirming contour that better reflects a person’s gender identity.

This procedure is often performed with, before or after other gender-affirming surgeries, such as metoidioplasty, phalloplasty, or body contouring procedures. When combined, these surgeries can support a more cohesive and satisfying outcome that helps individuals feel more at home in their bodies.

We recognize that gender-affirming care is not the same for everyone. Whether you’re undergoing a full surgical transition or seeking one specific change, we provide respectful, individualized support for people of all genders and backgrounds.

Monsplasty may be included as part of comprehensive gender-affirming care to help reduce gender dysphoria and improve physical comfort and confidence. [2]

Monsplasty may be a good option for transmasc, non-binary, and other gender-diverse individuals who want to reduce or reshape the mons pubis area. This procedure is often chosen by people who feel that the area above their genitals is too full or prominent, which can cause discomfort or make them feel disconnected from their bodies.

Common reasons people consider monsplasty include:

1). Feeling self-conscious or dysphoric about a bulging mons area [1] 

2). Experiencing discomfort in tight clothing, such as pants or underwear

3). Including monsplasty as part of a larger surgical plan, such as gender-affirming bottom surgery

Because each person’s goals, anatomy, and transition path are unique, we always recommend an individualized consultation. During this meeting, our surgical team will talk with you about your needs, review your options, and help create a plan that feels right for you.

Monsplasty is a safe and straightforward surgery that removes extra fat or skin from the mons pubis, the area just above the genitals. The goal is to flatten and smooth this area, improving comfort and helping your body match how you feel inside.

How the Procedure Is Performed

During surgery, a small incision is made just above the pubic area. Through this incision, the surgeon removes excess fat and may tighten or trim loose skin. [1] This helps reduce any bulging or fullness in the mons area. The incision is then carefully closed with stitches for minimal scarring.

Anesthesia and Surgical Time

Monsplasty is typically done as outpatient same-day surgery under general anesthesia or local anesthesia with sedation, depending on your overall plan and comfort level. [3]

Healing after monsplasty is usually smooth and manageable with proper care. Most people can return to light daily activities within a few days, but full recovery may take a few weeks depending on your body and whether the surgery was combined with other procedures. [3] 

At Align Surgical Associates, we understand that monsplasty is more than just a cosmetic procedure; it’s a deeply personal step in your gender-affirming journey. Our team specializes in gender-affirming surgeries and brings years of experience in helping transmasc, nonbinary, and gender-diverse individuals feel more at home in their bodies.

Expertise in Gender-Affirming Care

Our surgeons are leaders in the field of gender-affirming surgery, with advanced training in procedures like phalloplasty, metoidioplasty, and monsplasty. We stay current with best practices and techniques to provide results that are both safe and affirming.

Inclusive, Safe Approach

We know that healthcare environments can feel intimidating, especially for trans and gender-diverse patients. That’s why our entire team is trained in safe care, creating a space that’s respectful, validating, and affirming from your first consultation to recovery. You’ll never have to explain or justify your identity here.

Personalized Consultations and Surgical Plans

No two bodies or transition paths are the same. We offer personalized consultations to understand your goals, answer your questions, and help design a surgical plan that fits your needs.

At Align Surgical Associates, we’re here to support your goals with personalized and safe practices and a deep respect for your journey. Every body and transition path is unique and so is the care you’ll receive with us.

Contact us today to schedule your consultation today. Let’s take the next step together

Dr. Michael Safir, MD is a board-certified reconstructive urologist based in Los Angeles, specializing exclusively in genital gender-affirming surgery. With a subspecialty certification in Female Pelvic Medicine and Reconstructive Surgery (FPM-RS), Dr. Safir is uniquely qualified with advanced fellowship training in both male and female genital reconstruction. He earned both his undergraduate and medical degrees from Northwestern University’s Honors Program in Medical Education, where he also completed his urology residency. Dr. Safir went on to complete dual fellowships in Male Genitourinary Reconstruction at UCSF and Female Reconstructive Urology at UCLA, mentored by leading experts Dr. Jack McAninch and Dr. Shlomo Raz. His professional leadership includes serving as Section Chief of Reconstructive Urology at New York Medical College, President of the Los Angeles Urological Society, and Clinical Instructor at UCLA and UCSF. He is board-certified by the American Board of Urology, a Diplomate in FPM-RS, and an active member of the World Professional Association for Transgender Health (WPATH). Dr. Safir is highly regarded for his expertise in procedures such as orchiectomy, metoidioplasty, and phalloplasty, and is a compassionate advocate for affirming, individualized care for transgender patients.