Traditionally, the ideal male physique includes a broad and defined upper torso, trim waist, and minimal fat in the lower body area—in short, a classic “V-shaped” figure. While top surgery and hormone therapy combined with diet and weight-training exercise are helpful options for trans men who wish to obtain a more masculine physique, certain areas of fat storage such as the hips, legs, and buttocks can be difficult to change through diet and exercise alone. Body masculinization surgery (BMS) is an ideal procedure for trans men who would like to obtain a more masculine contour throughout the upper and lower body. While everyone is different, many patients who have undergone BMS report greater satisfaction with their appearance and improved self-image, self-esteem, and self-worth.