#I may get an infection but did it give me gender euphoria

[sixteenthtry]

Yes it is 1am, yes I am supposed to be preparing for a test, yes I am doing Gerard's revenge makeup instead (badly).

[cocklessboy]

I see a lot of people saying that gender-affirming health care like top surgery for trans people like myself should be freely available (which is correct), but one of the reasons they often give is that top surgery is very safe and has a very low rate of complications compared to other surgeries. And I often see transphobes clutching their pearls over the few people who do have complications. What about them?! What if you're one of the unlucky ones?! Should we really let those transes risk it??!!!

Setting aside the fact that no one raises such concerns over other types of surgery, I'd like to use myself as an example for anyone who needs one.

In May of 2022 I had top surgery (double mastectomy). The surgery was done by a gynecological surgeon, not a plastic surgeon, because that way my insurance would cover it.

The surgeon did his job and removed the breast tissue, but he did not make it look pretty. I have dog-ears at both ends of both scars (extra bits of skin that hang off in a very unappealing fashion), my chest still looks unnaturally flat with no muscle or fat despite a lot of working out, and one of the stitches didn't heal properly and was left as an open wound through "secondary healing" for several months before it finally healed over into a very large scab (and eventually a very large scar). My nipples are uneven and irregular and look... well, just awful, really. Due to bad genetic luck, I wound up with keloid scars which, instead of getting smaller and lighter over time, have instead expanded, becoming thicker and darker. Worst of all, I now have chronic nerve pain in my chest. My GP thinks the surgeon must have hit a nerve during the procedure, and now I have random sharp pains all over my chest even now, nearly ten months later. The pain might improve with time, or it might not.

I basically had almost every possible complication one can have from this surgery short of infection or death. Some of the aesthetics might be fixable with more surgery (though plastic surgery will be expensive). Some are probably permanent. I might never feel comfortable taking my shirt off in public again. I might have to tattoo over the scars.

And pay attention to this next bit, because it's the most important part of this whole post: I do not regret the surgery. Even with all the complications and the ugly state of my chest and the pain. If someone said they could push a button and make it so that the surgery never happened and I'd have a perfect, unmarred chest with C-cup breasts again, I would tell them to take their button and fuck right off. Because even with basically the worst of all possible outcomes, that surgery was the best thing that ever happened to me.

I don't feel good about taking my shirt off in front of people now. I do think my chest is ugly. But it's a male chest now. When I put on a t-shirt, it rests flat against my chest. No one will ever mistake me for a woman again. I'll never have to wear a bra or binder ever again.

The dysphoria I felt from having breasts was so severe that a hideously scarred chest and chronic pain are vastly preferable. The euphoria I feel when I look in the mirror with a shirt on is something I never knew I was capable of feeling.

And it's my fucking body, and it's up to me what I do with it. If I wanted to tattoo myself from head to toe, or file my teeth into fangs, or have a doctor break my legs and surgically implant extensions to make me taller, that's my right because it's my body. The fact that all those things are regarded as basically acceptable (if a little weird), but I had to have a dehumanizing interview with an old cis psychiatrist who hates trans people and wants us all sterilized just to get a piece of paper giving me permission to have my tits removed, is fucking absurd.

Top surgery (of any kind) is generally very safe, and complications are rare. But even with the worst outcome, a trans person will basically never regret it.

And frankly, if a cis woman wants her tits cut off, or a cis man wants a pair of boobs to play with on his own chest, more power to them because literally who gives a fuck what people do to their own bodies? I saw a dude on TV when I was a kid who'd tattooed his whole body to look like a cat, filed his teeth into fangs, and had loads of plastic surgery to surgically implant whiskers and make his face look more feline. It was weird! But literally no one said that should be banned because he might regret it. It's his body to do whatever weird shit he wants with.

The next time someone clutches their pearls and kicks and screams about how you can't let someone permanently alter their body in a way they might regret, feel free to point to me and my complete and utter lack of regret.

(Or have a little fun with it, go hard in the other direction, and say you absolutely agree, which is why we should ban ALL non-emergency surgeries until the patient has been FULLY evaluated by three psychiatrists - along with tattoos and piercings. Oh, and ballet lessons for anyone under the age of 25, since ballet changes the structure of a child's body FOREVER.)