After metoidioplasty or phalloplasty with scrotoplasty, the scrotum can sometimes lay between the legs. This is more common in patients with excess skin and a prominent mons (area in front of pubic bone). In this situation, a monsplasty can be helpful for lifting the genitals out from between the legs. It is about a one hour procedure with minimal risk. It is performed about 6 months after the original surgery and can be done at the same time as testicular implants and/or penile implants.