A meta involves the release of the hormonally enlarged clitoris to make a penis. The penis is small, and the average length varies between 4-6 cm. Other components of a meta include removal of the vagina (vaginectomy), urethral lengthening, and creation of a scrotum (scrotoplasty). In order to prevent infection and erosion of implants through the skin, testicular implants are generally placed 3-6 months later. A meta will generally allow the patient the option of standing to void, without the “commitment” of a phalloplasty.