They include female genital mutilation (FGM), sex reassignment surgery (for trans men as part transitioning, which may also include clitoris enlargement), intersex surgery, and genital piercings.    Use of anabolic steroids by bodybuilders and other athletes can result in significant enlargement of the clitoris in concert with. Jul 11, · Caroline Cossey: Once a “Bond girl” in the James Bond films, she was raised as a male but had a female appearance. At the age of 17, she chose to transition to life as a woman. She had gender reassignment surgery and was eventually “outed” by tabloids as being raised as male. Sex reassignment surgery is an invasive procedure that alters the genitalia. Both males and females can undergo sex reassignment surgery. For males, the process is known as male-to-female (MTF) reassignment, and usually involves the removal of the penis .