Orchiectomy
Removal of the testes to support hormonal transition and reduce testosterone production.
Training · Faculty · Affiliations
Orchiectomy
Orchiectomy removes the testes to reduce testosterone production, often allowing lower hormone doses. It is a relatively short outpatient procedure and can be a standalone step or precede vaginoplasty.
Every plan is built collaboratively, respecting your anatomy, goals, and comfort, and follows internationally recognized WPATH-aligned standards for safe, ethical, natural-looking outcomes.
- ✦Duration — 1–2 hours
- ✦Hospital stay — Outpatient
- ✦Anesthesia — General or local
- ✦Full recovery — 2–4 weeks
Expertise built on volume
A focused practice in the procedures Dr Laungani performs at the highest volume — for feminizing and masculinizing goals.
Stops testosterone production
Removing the testes immediately halts the body's primary source of testosterone, reducing or eliminating the need for anti-androgen medication.
Simplifies hormone therapy
Many patients find their estrogen regimen becomes simpler and more effective once endogenous testosterone is no longer present.
Relieves gender dysphoria
For many transfeminine patients, orchiectomy is a deeply affirming step that reduces distress and brings comfort in daily life.
Minimal, hidden scarring
Incisions are placed within natural folds — either the scrotal raphe or the inguinal crease — for discreet, barely visible scars.
Fast recovery
Most patients resume light activities within one to two weeks and return to normal routines well before a month.
Paves the way for future surgery
Orchiectomy can be performed as a standalone procedure or as a preparatory step toward vaginoplasty or vulvoplasty.
Techniques & options
- —Simple Scrotal OrchiectomyPatients seeking a straightforward procedure with the shortest recovery and minimal scarring.
- —Inguinal OrchiectomyPatients with tight scrotal skin or those who may proceed to vaginoplasty in the future.
Further options
- —Bilateral Orchiectomy with Scrotal ReductionPatients who want the testes removed and the scrotum reduced for a flatter, more feminine contour.
- —Orchiectomy as Part of VaginoplastyPatients planning vaginoplasty and who prefer to have orchiectomy performed concurrently.
Non-binary & eunuch-spectrum goals are tailored and discussed case by case, using an informed-consent model with the WPATH Standards of Care (SOC-8) as general guidance. · Not offered: phalloplasty, metoidioplasty, voice surgery.
An authority the world's leaders trust
Dr Laungani's influence extends well beyond the operating room — into research, teaching, and the international standards of transgender care.
Surgical program moderator
Moderated the Genital AMAB session of the WPATH 2024 surgical program, alongside WPATH President Dr Marci Bowers.
Invited international faculty
One of three international surgeons chosen to lead India's first live gender-affirming surgery workshop at AIIMS New Delhi (2023), alongside Dr Marci Bowers.
Published author
Lead author, Strategies to Prevent and Mitigate Complications in Gender-Affirming Penile-Inversion Vaginoplasty (2022). ~28 publications; editorial board, Journal of Transgender Health.
Speaks where the field convenes
Invited lecturer on transgender care at the French Society of Plastic Surgery (SoFCPRE) and at IMCAS Paris; invited expert at the Belgian Society of Plastic Surgery in Liège (2026).
Member of the field's leading societies
American Society of Plastic Surgeons (ASPS) · The Aesthetic Society · WPATH · IMCAS · French Society of Plastic Surgery (SoFCPRE).
Credentialed across three systems
Mayo Clinic–trained and FRCSC in Canada; active medical licence in Belgium; listed on the UK plastic surgery register.
Before & after
Outcomes shown with written patient consent.
A philosophy the media has taken note of
Your body belongs to you. You have the right to shape it in your own image.
Dr Alexis Laungani — Fugues, Nov 2025I see every body as a work in progress, and every patient as a whole person — not a 'transition,' but an evolution.
Dr Alexis Laungani — Fugues, Nov 2025For many, it is a way of reclaiming their body, of freeing themselves from a deep discomfort.
Dr Alexis Laungani — Fugues, Jul 2025My aim is to offer procedures that are right, elegant and lasting — never 'cookie-cutter.'
Dr Alexis Laungani — Fugues, Jul 2025Trusted by the people who matter most
RateMDs · 91% five-star
“My experience with Dr Laungani was flawless — from consultation to recovery.”Verified patient review · RateMDs
“He explained every option clearly and never rushed a single decision.”Verified patient review · RateMDs
“Travelling to Montreal was the right decision — the follow-up was exceptional.”International patient · RateMDs
Care designed for out-of-province & international patients
Montreal is a globally recognized center for gender-affirming surgery. Dr Laungani's team supports you from your first message to full recovery — in English and French.
Remote consultation
Video assessment in English or French, with photo-based pre-evaluation and a personalized plan before you travel.
Documentation & coordination
Guidance on WPATH readiness letters, scheduling, travel and accommodation, and coordination with your local providers.
Recovery, on site
Atelier du Corps offers a private operating suite and dedicated recovery rooms — so healing begins in comfort, close to your surgeon.
Frequently asked questions
Take the next step, with an expert who has done this thousands of times.
Private, judgment-free consultations for patients across Canada and internationally. Every conversation is confidential.
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