Bottom surgery refers to surgical procedures that alter the genitalia and reproductive organs to align with an individual's gender identity. This type of surgery is often sought by transgender individuals, particularly those transitioning from male to female or female to male. The procedures can include vaginoplasty, phalloplasty, and metoidioplasty, among others. The decision to undergo bottom surgery is personal and can involve various factors, including physical, emotional, and social considerations. It typically requires thorough consultations with medical professionals, including mental health evaluations, to ensure that individuals are informed and prepared for the changes that come with the surgery.