Before undergoing phalloplasty, several pre-surgical steps are essential:
1. Mental Health Evaluation: A comprehensive evaluation by a mental health professional to confirm gender dysphoria and ensure the patient is psychologically prepared. 2. Hormone Therapy: Typically, at least a year of testosterone therapy is recommended to induce secondary male characteristics. 3. Medical Clearance: Comprehensive health screening to rule out any conditions that might complicate surgery or recovery. 4. Smoking Cessation: Patients are often advised to quit smoking several months before surgery to enhance healing.