A semiconductor structure comprises a substrate having a first side and a second side opposite the first side, and a gate for at least one transistor device disposed above the first side of the substrate. The structure may further include a buried power rail at least partially disposed in the substrate and a gate tie-down contact connecting the gate to the buried power rail from the second side of the substrate. The structure may further or alternatively include one or more source/drain regions disposed over the first side of the substrate, and a gate contact connecting to a portion of the gate from the second side of the substrate, the portion of the gate being adjacent to at least one of the one or more source/drain regions.