The Pedicled Anterolateral Thigh Phalloplasty

Clin Plast Surg. 2018 Jul;45(3):399-406. doi: 10.1016/j.cps.2018.03.011. Epub 2018 May 1.


The anterolateral thigh (ALT) flap is a viable and reliable option for phalloplasty. The primary advantages of the ALT flap remain an inconspicuous donor site and flexibility in phallus length. The disadvantages of the ALT flap are a higher incidence of both flap and urethral complications compared with a radial forearm phalloplasty. Although the ALT phalloplasty can achieve the primary goals of standing micturition, penetrative intercourse, and an aesthetic phallus, multiple stages and revisions are often necessary. Careful patient selection is paramount in attaining acceptable results with the ALT phalloplasty technique.

Keywords: Anterolateral thigh flap; Gender affirmation; Gender confirmation; Genital surgery; Phalloplasty; Transgender.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Male
  • Penis / surgery*
  • Plastic Surgery Procedures / methods*
  • Sex Reassignment Surgery / methods*
  • Surgical Flaps*
  • Thigh / surgery*
  • Transsexualism / surgery*
  • Urethra / surgery