A new phalloplasty technique used in Iceland

Alexander Björn Gunnarsson is the first trans man to undergo radial forearm phalloplasty in Iceland. The surgery was performed last week by Doctor Hannes Sigurjónsson, a plastic surgeon that has specialized in gender reassignment surgery.

Alexander wants to educate others about phalloplasty and how it works, and hopefully help and encourage other trans boys at the same time. His operation was performed at The National Hospital of Iceland (Landspítali Háskólasjúkrahús, Fossvogi).

“I‘m told that the surgery went exactly by the book and that I‘m recovering by the book too, there have been no complications. There‘s no bandage covering the penis so I can see it. It looks all right, it‘s not very swollen but there are stitches in it and obviously all the “seams” are still healing. I have to be careful not to let it get weighed down so not to stretch the stitching, so need to keep it lying in an upward position while healing,“ says Alexander, who was more than happy to answer questions about his brand new crown jewels.

There‘s always a slight possibility that the blood flow to the new body part isn‘t sufficient so that the body part withers, or that blood doesn‘t circulate back from it, causing it to swell up, so Alexander is still kept under close guard at the hospital. But he says that so far everything looks good. “I’m young and healthy, a non-smoker so even though such a long surgery is always difficult, and it took me a while to recover after the anaesthesia, there wasn’t much risk involved.”

Phalloplasty is what the actual construction of a penis is called. This type of phalloplasty, called radial forearm phalloplasty, is quite a big operation and took about eight hours. “I‘m not exactly sure in which order this was done but during the surgery, the surgical team removed quite a big piece of skin from my forearm, almost an entire sleeve, and thick enough to be able to take veins and nerves with it. That piece was then rolled up and shaped like a penis and attached to my crotch, connecting the veins and the nerves. There are two main nerves that need attaching to, a skin nerve so that I‘ll have skin sensation in my penis, and then a nerve in my clitoris, so that I‘ll have the possibility of later developing an erotic sensation in it too. Then they also remove a thin layer of skin from my thigh to cover the area on the forearm. So that‘s healing now too and I‘ve got a lot of bandage there.“

“I‘m told that the surgery went exactly by the book and that I‘m recovering by the book too, there have been no complications.“

Alexander will need to undergo a few more minor operations to finalize what he wants to have done. “I‘m probably going to have two more surgeries. One where my outer labia will be made into a “pouch” and another where silicon testicles will be implanted. There‘s also a possibility of having a surgery to close up my vagina but there‘s no one in Iceland who can perform that so we‘re still looking at how to solve that.”

Alexander has the option of having the urethra extended through the new penis to be able to pee with it but says there‘s an increased risk of something going wrong with it, then leading to considerable problems with urinating and repeated interventions to solve those. So he chose to skip that bit. “I just pee as before, from beneath the penis. It doesn‘t matter to me at all to continue peeing sitting down.”

Phalloplasty is quite a big operation and took about eight hours. But Alexander says that so far everything looks good. “I’m young and healthy, a non-smoker so even though such a long surgery is always difficult, and it took me a while to recover after the anaesthesia.”

Have you always been determined to have a phalloplasty? “No not really. It‘s only about a year ago that I decided on it. I had the top surgery then and started to feel better about my body and myself and began wondering whether I should have something more done.

“I want to stress that even though I‘m very open and candid about my genitals, it doesn‘t give people permission to ask all trans people about their private parts.”

I had known that these sort of surgeries hadn‘t been particularly reliable so I never wanted to pursue them but there‘s been a lot of progress in the past few years so in April last year I decided I didn‘t need to wait for further developments in that area, that the phalloplasty surgery had reached a good enough level for me.”

Whad did your family and girlfriend think when you decided to have this done? “They‘re nothing but supportive and accept everything I choose to do. Of course my mum always gets a bit anxious when I need to have an operation but she‘s there for me all the way. And I‘m sure it‘s not fun for my girlfriend to have me stuck in hospital all this time but she‘s fine about it.”

Will you be able to have intercourse when the penis has healed? „No, not unless I have a special erection device implanted, but right now the penis is completely limp. I didn‘t have this surgery for that anyway, I only had it done to look more male and feel better about the way I look.”

Alexander hopes to be discharged from hospital in a few days. He‘ll see a physiotherapist to advise him on how to look after his arm while the skin there heals, and he‘ll have to be careful not to let his penis hang downwards until it‘s fully healed. “But I expect I‘ll be able to go to the pool and stuff in about three months! “

You‘ve been very open about this and blogged about your experience, why do you do that? “It‘s a combination of wanting to educate others about this procedure and how it works, and hopefully help and encourage other trans boys at the same time. I read lots of foreign blogs written by guys who have had phalloplasty so I want to inform those in Iceland about this possibility.

However, I want to stress that even though I‘m very open and candid about my genitals, it doesn‘t give people permission to ask all trans people about their private parts. I‘ve expressed myself about this unprompted and therefore expect people to ask me question, and that‘s all right. But apart from that, people should not ask others personal questions that they wouldn‘t want to be asked themselves.”

Good outlook for phalloplasty patients

Doctor Hannes Sigurjónsson, who performed the radial forearm phalloplasty, says that the outlook is good for future phalloplasty patients in Iceland. 

Doctor Hannes Sigurjónsson is a specialist in gender reassignment surgery. He trained at the Karolinska University hospital in Stockholm, Sweden, where he lives with his family. Photo/Karolinska háskólasjúkrahús

“Last year we performed ALT phalloplasty for the first time here, that’s when we use skin tissue from the thigh to create the penis, but up until then it was common to use skin tissue from the groin.

But the technology has evolved a lot in the past few years and it’s getting more common to use skin tissue from other parts of the body.

The advantage of using thigh skin tissue is that it’s very thick and is more able to have an erection device implanted.

The good thing about using skin tissue from the forearm however is that it’s easy to shape it and simpler to extend the urethra through it, as well as connecting skin nerves to give the patient skin sensation in the penis but nerves take a long time to heal and recover, up to two years.”

“We’ve been testing a new erection device from Switzerland, which is especially designed for phalloplasty. That means Iceland is one of the first countries in the world to use this new device.”

Iceland is one of the first countries in the world to use a new erection device from Switzerland, designed for phalloplasty.

Hannes says it’s a common misunderstanding that the ability to orgasm is lost after a phalloplasty. “Very often, we connect a nerve to the clitoris but otherwise we don’t interfere with it. Therefore, the sensation there remains as well as the ability to orgasm through the clit.”

The so-called “trans team” at LSH will continue offering these types of phalloplasty to patients and Hannes says there are around 3-4 people on a waiting list. These surgeries are fully subsidized by the state as they are part of the treatment offered to trans people.

And the outlook is good for future phalloplasty patients in Iceland. “We’ve been testing a new erection device from Switzerland, which is especially designed for phalloplasty. That means Iceland is one of the first countries in the world to use this new device. In the past, we’ve been using devices that were designed for incompetent men but they don’t really fit well with phalloplasty cases. We have good contact with the gender reassignment team in Gent in Belgium too; last time we spoke to them they had used six of these new erection devices and were really happy with the results, both the doctors and the patients.”

Photos from a different case showing different stages of phalloplasty, including the outcome.

Main photo: wwww.pexels.com

Á. Óskarsson
Á. Óskarsson

Á. Óskarsson offers a variety of products and services to sports centers, swimming pools, schools, kindergartens, and the general public. The company specializes in sport-related products, activity-focused games, and a wide range of solutions for sports facilities.

Á. Óskarsson has been involved in numerous big projects related to building sports facilities and has made it their benchmark to offer good quality products and equipment since the company was founded.

See links to social media in the upper left-hand corner


Á. Óskarsson selur fjölbreytt vöruúrval fyrir íþróttahús, sundlaugar, skóla og leikskóla og einnig ýmsar vörur til einkaafnota. Fyrirtækið selur vörur til íþróttaiðkunnar og leikja ásamt því að bjóða upp á ýmsar lausnir fyrir íþróttamannvirki.

Á. Óskarsson hefur komið að fjölda stórra verkefna við byggingu íþróttamannvirkja og hefur frá stofnun kappkostað að bjóða vandaðar og endingargóðar vörur.

Tenglar á samfélagsmiðla eru í efra horninu vinstra megin.



    Blush was founded in 2011 when it started selling high quality sex products. The goal from the beginning was to change the market and take the discussion about sex products to a higher level. Today Blush provides professional services in a pleasant environment that fulfills different needs, both for individuals and couples. Blush respects diversity and wants to set a good example in all of its messaging to target audiences. Sexual health and equality in sex is important and Blush wants to focus on those issues through education and open discussion. Blush works in a socially responsible manner for society, their customers and the environment.

    Check out Blush’s website: https://blush.is/

    Omnom Chocolate
    - award-winning chocolate maker

      Omnom Chocolate is an Icelandic craft chocolate company based in Reykjavík. We produce handcrafted chocolate from organic cacao beans sourced ethically and sustainably. We’ve developed direct relationships to create premium chocolate with fine flavor cacao beans.

      Our creative flavors are carefully crafted by meticulous chocolate makers. The cacao beans are roasted, winnowed, ground, and refined into melty-smooth chocolate.

      Omnom’s process is one of constant exploration, invention, and experimentation. If it doesn’t please us, if something isn’t absolutely delicious, there’s no reason to be doing it. So, we always start with our taste buds and follow our instincts. Our team searches for the finest ingredients in the world and new ways to improve chocolate. This obsession with knowing where our ingredients come from has led us around the corner to dairy farms in the Icelandic countryside and all the way to rainforest cacao farms of Nicaragua.

      In only a few short years, we’ve grown from our 50 sq. m. petrol station space and become an award-winning chocolate maker. Now, with our headquarters in 101 Reykjavík, our chocolate is sent out around Iceland and all over the world.

      At the end of the day, our goal is to make chocolate.




        Nasdaq (Nasdaq: NDAQ) is a global technology company serving the capital markets and other industries. Our diverse offering of data, analytics, software and services enables clients to optimize and execute their business vision with confidence.

        With over 4,300 employees in 39 offices around the world, at Nasdaq we all contribute to the success of the company and its culture, and each one of us has the ability to make a difference. When it comes to our core mission and values, we embrace the role of Diversity, Inclusion and Belonging (DIB) as a fundamental driver of our corporate growth, workplace culture and market development. We strive to create a culture that embraces the power of different perspectives—a culture where people’s unique backgrounds and different experiences helps us fuel innovation and support our clients around the world.

        Our unique position at the center of the capital markets allows us to see firsthand how these values have redefined corporate culture and success, deepening and accelerating our own commitment to champion inclusive growth and prosperity, as we strive to create more equitable opportunities to help people of all backgrounds reach their full potential. Most notably, we published our diversity statistics for the first time in 2020. These metrics serve as a quantitative assessment of where we are today and help determine what strategies we need to adopt to enhance diversity in the workplace. We recognize that we have much work to do, but we are steadfast in our commitment to creating a diverse and inclusive culture—one that reflects the communities in which we live, allows all employees to be their true, authentic selves and fosters individual growth and achievement.

        As we move forward together, we will continue advancing diverse ideas and perspectives that help fulfill the promise of a more inclusive and prosperous world. We aim to set the pace for rethinking capital markets and economies anywhere and everywhere. To learn more about the company, technology solutions and career opportunities, visit us on LinkedIn, on Twitter @Nasdaq, or at www.nasdaq.com.

        Blue Lagoon
        - One of the 25 Wonders of the World

        Named by National Geographic as one of the 25 Wonders of the World, the Blue Lagoon is a shimmering expanse of warmth, relaxation, and rejuvenation. Its unique geothermal seawater
        comes from 2.000 meters within the earth where seawater and freshwater converge in a tectonic realm of porous lava and searing heat. Propelled by extreme pressure, the water ascends to the earth’s surface, emerging enriched with silica, algae, and minerals—the elements that endow Blue Lagoon geothermal seawater with its radiant, healing properties.

        From its humble beginnings in the shadows of a geothermal power plant, Blue Lagoon has evolved into a world of wonder, now encompassing two hotels, three restaurants, three
        geothermal lagoons, a subterranean spa, a renowned line of skin care, a thriving research center, and a wealth of spa and refreshment facilities.

        Achieving harmony with the volcanic landscape, the lagoon and its surrounding architecture embody the unification of the man-made and the natural, and adhere to the highest principles of sustainability.

        The Blue Lagoon. A wonder of the world. A world of wonder.

        - leading financial institution

        Landsbankinn is a leading Icelandic financial institution. It offers a full range of financial services and is the market leader in the Icelandic financial service sector with the largest branch network.

        The present bank was established on 7 October 2008 but the history of its predecessor dates back to 1886. The bank is owned by the National Treasury of Iceland, which holds 98.2% of its share capital, and other shareholders who own 1.8%.

        Landsbankinn’s strategy is to provide comprehensive financial services that meet customer’s needs. It emphasizes providing exemplary service to customers, developing e-banking for their convenience, increasing the efficiency of support functions, modernizing its technology and ensuring effective utilization of its balance sheet.

        The bank’s vision is to be exemplary and its role is to be a trusted financial partner.

        Special emphasis is placed on promoting a performance-oriented culture in the bank. To follow up on the implementation of this strategy, the bank has defined key goals which are measured regularly to determine progress. These goals include, for example, customer satisfaction and loyalty, profitability, cost efficiency and the correlation between risk appetite and employee satisfaction.

        Landsbankinn wishes to lead the development of a sustainable society in Iceland by integrating economic, social and environmental concerns in its operations. The Bank aims to ensure that both its owners and society at large benefit from its activities.

        It intends to achieve this aim by building solid infrastructure and a strong team of 1.100 employees, by listening to its customers and by respecting and encouraging its employees to actively participate in their community. Landsbankinn was a founding member of Festa, a Centre for Corporate Social Responsibility, and is a member of the UN Global Compact.

        Landsbankinn has been a proud sponsor of the Reykjavik Pride since it was first celebrated in Iceland.

        - get inspired

        Dohop allows people to find the cheapest flights available with just one click. Founded in Reykjavik in 2004, it is the only Icelandic company of its kind and quickly became the go-to tool for finding cheap flights among the locals. Dohop finds the best deals among hundreds of different airlines and online travel agencies, to make sure that the user is getting the cheapest price. Dohop also offers hotel and car rental search engines, so users can make all of their travel bookings from a single website.

        Dohop‘s specialty is finding so-called “self-connect” flight options, which can save travelers money by booking a ticket through two or more different airlines. The ability to look for these self-connect option is what sets Dohop apart from its competition, as it can save people hundreds of dollars on certain routes.

        More recently, Dohop has developed a unique product called Dohop Go!, which allows users to check for the cheapest available flights from their home airport. This tool is perfect for those who are looking for travel inspiration but are not willing to overpay for their flight ticket. Dohop Go! is now available in the Dohop Flights App, both for Android and iOS, along with its traditional flight, hotel, and car search engines. “

        VSÓ Ráðgjöf


          VSÓ Ráðgjöf er alhliða ráðgjafar- og verkfræðifyrirtæki sem leggur áherslu á trausta og faglega þjónustu sem tryggir viðskiptavinum hagkvæmustu lausnir hverju sinni, skilar raunverulegum árangri og stuðlar að samkeppnisforskoti.  Á skrifstofum VSÓ í Reykjavík og í Noregi starfar yfir 80 manna samhentur hópur verkfræðinga og annarra tæknimenntaðra starfsmanna.

          - for all your Apple needs

          From starting out as a proper startup with only a good idea and the need to change things, to becoming an established company with 6 employees. Starting from scratch and expanding organically has allowed us to love our expansion and take our customers on the ride with us.

          Macland is located at Laugavegur 23 (101, Downtown Reykjavik)
          For all your Apple needs. We are here.

          Ísey skyr
          - once tasted never forgotten

          Our Story
          Once upon a time, 1,100 years ago in fact, Nordic settlers began arriving in Iceland. They brought with them the skills and knowledge for producing skyr. As time passed, the know-how and recipe for this nutritious food slowly faded out elsewhere in the Nordic region. Luckily, the Icelandic skyr-making tradition continued.

          For centuries, Icelandic skyr formed a cornerstone of the national diet, helping to keep people strong in living conditions that were often harsh. On family farms countrywide, it was the women who nurtured this dairy and passing on both the recipe and the original Icelandic skyr cultures from mother to daughter.

          Ísey skyr builds on this remarkable legacy. It was some of those very same women, the recipients of their mothers’ expertise, who, around 90 years ago, taught Icelandic dairy scientists the art of skyr-making. The production process is more high-tech these days, and the quality standards more rigorous. However, the basic recipe and the use of original cultures to ferment the skimmed milk remain the same. Protein rich, fat-free, creamy and delicious – Ísey skyr is as relevant to consumers now as it was all those centuries ago.
          This is our secret and you are in on it

          You can read more about Ísey skyr on our website.

          Contact Us

          Thank You. We will contact you as soon as possible.