3 Things You Should Know Before Bottom Surgery

If you're beginning your journey toward bottom surgery, there's a lot to plan—emotionally, medically, and logistically. One of the most important steps you can take early on is preparing for permanent hair removal. In fact, many surgeons require hair removal to be complete before they’ll even approve your surgical date.

Here are three essential things to know as you get started:

1. Start Hair Removal Early—It Can Take 12–24 Months

Permanent hair removal is not just a cosmetic step—it’s a medical necessity for many gender-affirming surgeries. Hair that isn’t fully removed from the surgical site can lead to complications like ingrown hairs or internal regrowth. Because hair grows in cycles, it takes time to fully clear an area—typically 12 to 24 months.

That’s why starting early is key. Many surgeons won’t approve your surgery until you’ve completed hair removal or made significant progress, so beginning the process can actually help move your surgery timeline forward.

2. You’ll Likely Need Both Laser Hair Removal and Electrolysis

No single method can fully remove all hair types, so most people benefit from a combination of laser and electrolysis:

  • Laser Hair Removal works by using light energy to heat and damage hair follicles. It’s fast and efficient for large areas and is highly effective at removing up to 90% of dark, coarse hairs.

  • Electrolysis targets each hair individually with a tiny probe that delivers electrical current to permanently destroy the follicle. It works on all hair colors, including white, red, blonde, and gray—hairs that laser cannot treat.

Starting with laser to reduce bulk, then finishing with electrolysis, is the most efficient and thorough path to full clearance.

3. Not All Lasers Are Created Equal—Choose a Provider That’s Equipped for All Skin Tones

For laser to work, the hair must be dark—but your skin tone matters too. Some lasers are only safe for lighter skin, which can limit your options if you have medium to deep skin tones.

At Pure Lux Medspa in Edina Minnesota, we’re equipped with both the 755nm Alexandrite and 1064nm Nd:YAG laser wavelengths, allowing us to safely and effectively treat ALL SKIN TONES. Choosing a provider with the right technology and experience ensures your treatment is both safe and successful.

Final Thoughts

Preparing for bottom surgery involves more than just scheduling the procedure—it means taking steps now that can impact your timeline, your safety, and your surgical results. Hair removal is one of those key steps. Starting early, choosing the right methods, and working with a knowledgeable provider can help make the journey smoother and more empowering.

At Pure Lux Medspa, we’re honored to support the transgender and nonbinary community with inclusive expert care. If you’re starting to plan for surgery or want to learn more about hair removal, our team is here to help.

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