arise post-operation, making it difficult to be sexually satisfied. once nerve tissue is reestablished with the body after a few months post-operation, sexual function may return to its full capacity. complications to scrotoplasty among transmasculine individuals primarily deal with testicular implants. if they are too big, there is chance that the implants could feel uncomfortable, or be a cause of chronic pain. another complication is that the implant could erode the skin of the scrotum. this can cause infection, or an abnormal connection between two body parts (a fistula) where the implant may work its way outside the body. people with a history of smoking are at increased risk of infections and prosthetic explantation. other complications are those that are typical for any surgery, such as blood loss or problems with anesthesia. cost a scrotoplasty for a trans man or transmasculine person typically costs around us$3,000 to $5,000. these costs can be covered by health insurance, though the person receiving care must communicate a great deal with their insurance in order to make certain that it will. in the united states, it is considered illegal for medicaid, medicare, and private insurance plans to deny individuals transition-related care coverage. however, individuals may run into issues with their insurance plan coverage because insurance will only cover surgeries that are considered medically necessary. insurance plans can deny coverage of a scrotoplasty if deemed to be an esthetic or cosmetic surgery instead of a reconstructive one. in this case, all of the costs will be covered by the individual under care.