What is Testicle and what it’s role? The reproductive organs in males which produce sperms are called baillateral testicles. The other role of testiscles as reproductive organs is to secret androgens specially testestron. These balls are covered by layer of skin called scrotum. The main reason of testiscles location is to provide lesser tempreture for surviving sperms. Why Bilateral Orchiectomy Should Be Done? In Transsexual women one of the basic step for transition is to start hormon therapy and reduce the testestron to have more female androgenes to reach much more feminin characters. One of the effective ways besides of hormon therapy is surgical castration, which means both testicles removal to prevent of androgen specially testestron secretion. In Trans women for the vaginoplasty can use scrotum skin graft to creat vagina so scrotectomy wont be recommended in this case. Note: With this surgery you should be aware that you cannot have any fertilisation. It is surgical castration. How Bilateral Orchiectomy Surgery will be done? Bilateral Orchiectomy Surgery will start by around 2,5 cm incision in the middle of scrotum and will finish with cutting spermatic cod and removing testicles. Advantages Actually for the transwomen it is very good option to make their transition faster and if they have any allergy or uncomfortness to the feminin hormones, so that they can use lesser dosages of hormones after surgical castration. In according to final result after the bilateral orchiectomy, your phisician may decrease dose of your androgen blocker medication. Surgery Duration The duration of surgery is maximum 1 hour and will perform under general anaesthesia. Healing time The total healing time of bilatteral orchiectomy is a few days to 1 week. This surgery can perform at the same time with vaginoplasty.