Hi, we do Simplified female to male transformation ( FTM ), and Neo-Penis formation remains stable and permanent. We usually do it in a single stage - Neo-Penis formation. It takes only 1-2 hours under local anesthesia. The previously primed clitoris is converted into neo-penis with the added flaps. The newly formed penis is about 3-4 inches or more in length depending on your particular anatomy and it also depends on the size of your hormone primed clitoris. It is walk in walk out surgery. At a later stage, you can opt to have penile implants, single piece, two- piece or three piece implant with pump in the scrotum. It will give you several inches more of penis length and girth and with the scrotal pump, you can control your erection during sex as long as you require or wish.