Pros

Masculine perineum

Possibility of standing to urinate (?%)

Higher chance of maintaining erogenous sensation

Cons

Irreversible

Lower chance of being able to stand to urinate compared to phalloplasty

Must have a hysterectomy/ovary removal and vaginectomy prior to

No longer able to become pregnant

Unable to have penetrative vaginal intercourse

Risks

Urethral stricture (?%)

Urethral Fistula (?%)

Need for indwelling bladder catheter for several weeks

Injury to the rectum/bowel/intestines (requiring bowel diversion/stoma) (~1-2%)

Injury to the urinary tract (?%)

Need for repeat procedures (?%)

Anesthetic risks