Trans masculine bottom surgery is currently unavailable in the UK for NHS patients. The operation, called phalloplasty, is the surgical creation of an artificial penis that will be sought by some trans men and trans masculine people as part of their medical transition. Gender-affirming surgeries like bottom surgery are an internationally recognised treatment for alleviating the symptoms of gender dysphoria, and are known to significantly improve quality of life and mental health of trans patients. Phalloplasty is deemed an elective surgery, which means operations were suspended during the COVID-19 pandemic as hospital resources were diverted to coronavirus patients. If not funded by the NHS, a phalloplasty is estimated to cost between £40,000 and £70,000 in the UK.