An orchiectomy is the removal of both testes via a small incision made in the midline of the scrotum. It can be done as a stand-alone procedure to simplify hormone regimens and assist in gender congruence or in association with a vaginoplasty.
Typically the scrotal skin is left behind in case it may be needed in the future for a gender-affirming vaginoplasty or vulvoplasty, but if there is no desire for these procedures then the skin can also be removed.
