Many trans men have had a hysterectomy (and/or oophorectomy). While there are currently no established recommendations for cervical cancer screening for trans men who have had bottom surgery, these surgeries can affect screening recommendations:

- If a trans man has had a complete hysterectomy that included removing the cervix, AND he has no history of cancerous or precancerous cervical cells, then he will not need regular Pap tests.

- If a trans man has had a hysterectomy that left his cervix partially or completely intact, then he will need regular Pap tests.

- If a trans man has had a complete hysterectomy including removal of the cervix, AND also has a history of cervical cancer, precancerous conditions, HPV infection or immune suppression, he may need to have vaginal vault or cuff smears until he has three documented normal tests in a row.

- Trans men who have had a colpectomy (removal of the vagina) or colpocleisis (closure of the vagina) as part of bottom surgery such as hysterectomy or metoidioplasty, cannot have a Pap test.

Source: Canadian Cancer Society