Orchiectomy is a gender affirming bottom surgery that involves the surgical removal of the testes. This procedure is often chosen by transgender and gender diverse patients to reduce testosterone production and support physical comfort and hormonal balance. Orchiectomy may be performed as a standalone procedure or as part of a broader transition plan.
Each surgical plan is customized based on the patient’s anatomy, goals, and future considerations, with a focus on safety, comfort, and long term wellbeing.
Orchiectomy at SimplyTrans is performed under the care of Dr. David Sayah. Patients seeking orchiectomy in Beverly Hills or Los Angeles choose SimplyTrans for physician led care, thoughtful planning, and discreet, confidence affirming results.
Key Aspects of Orchiectomy
Recovery Time: Most patients return to work in about a week, with full recovery within 2–4 weeks, avoiding heavy lifting during this time.
Procedure: A small incision is made in the groin or scrotum to remove the testicle(s) and spermatic cord.
Types:
Simple/Radical: Removes the testicle, often done to remove cancerous tissue.
Bilateral/Unilateral: Removes one or both testicles.
Partial: Spares part of the testicle.
Success Rate & Purpose: Highly successful for removing localized tumors (cancer) or reducing testosterone in advanced prostate cancer or for gender affirmation (trans feminine) surgeries, allowing for lower estrogen doses.
Side Effects & Long-Term Effects
- Infertility: Permanent when both are removed.
- Hormone Loss (Bilateral): Lowers testosterone to near zero, causing fatigue, hot flashes, weight gain, reduced muscle mass, and increased osteoporosis risk.
- Sexual Function: Potential for low sex drive (libido) and erectile dysfunction, though this varies if one or both are removed.
- Mental Health: Possible depression.
Risks
Long-term: Potential issues with osteoporosis due to low hormone levels
Short-term: Swelling, bruising, pain, infection, and bleeding.
Why Choose Chrisalys for Orchiectomy in Beverly Hills
Specialized Expertise:
- 26+ years of body contouring experience
- Board-certified plastic surgeon and Fellow of American College of Surgeons
- Advanced techniques optimizing survival rates
- Understanding of body aesthetics and proportions
Comprehensive Approach:
- Strategic harvest creating definition while providing donor fat
- Customized enhancement based on individual anatomy and goals
- Multiple area treatment for complete physique transformation
- Natural-looking results maintaining athletic appearance
Patients throughout Los Angeles trust Chrisalys for Orchiectomy surgery that delivers natural enhancement and athletic definition through expert care at our Beverly Hills facility.
Meet Dr. David Sayah
Dr David Sayah is a board certified plastic surgeon in Beverly Hills known for his natural approach to aesthetic surgery. With more than 26 years of experience, he combines surgical precision with artistic insight to deliver balanced and refined results. His philosophy centers on enhancing individual beauty rather than changing it.
A graduate of the UCLA School of Medicine and a Fellow of the American College of Surgeons, Dr Sayah trained at leading medical centers including NYU and UCLA. His work in wound healing and scar formation research helps patients heal beautifully with minimal scarring. Fluent in five languages, he welcomes patients from Beverly Hills, Los Angeles, and across the world who seek exceptional, natural results.
