#bottom surgery resource

[answersfromzestual]

Phalloplasty Procedure Full Outline Offical (Radical Free Flap Procedure)

What is phalloplasty/ phallo?

Phalloplasty - "includes several surgical procedures that aim to construct male genitalia that looks as natural as possible. The surgery is divided into several steps that may vary from patient to patient. Generally, they are the three following steps" (Source1) . We aren't going to count if the prerequisite of hysterectomy. Since my surgical procedure, they have removed the requisite of an oophorectomy, that procedure is now optional thanks to the always advancing technology.

The first step:

a surgery that consists of creating a penis from a skin flap from a specific area of your body (most common areas are forearm and lower back) of the body that you would chat about with the surgeon(s) and that specific skin will be grafted to the genital area.

The second step:

Here, surgeons construct the urethra that will llow urination. This is known as Urethra Lengthening (often referred to UL) (Urethra Lengthening Procedure Post)

The third step:

At this stage, you will receive testicular and erectile implants that will allow for penetrative sex. Note: this is not the only type of phalloplasty sugerical options.

The first surgical step consists of:

the creation of a penis or phallus from a skin flap and fatty tissue of the donorn site involving the removal of blood vessels (to create a blood supply) and nerves (this is where nerves are disconnected and reconnected, which can take some time to gain full tactile function or feeling. This skin will be grafted to the genital area where a penis would naturally sit on your body. The next part of the procedure is:

"the burial of the clitoris at the base of the phallus;

the creation of the penile urethra within the phallus;

the lengthening of the biological urethra;

the creation of the glans;

the creation of the scrotum;

the closing of the vaginal cavity; and

the removal of a layer of skin from the thigh to compensate for tissue loss

on the donor arm." - (Source1) Some of these things are not the same for every surgeon, be sure to ask about if your clitoris could be not buried for example, or different pumping systems, varying styles in surgerical procedures from clinic to clinic, even surgeon to surgeon.

The second step consists of the construction of the urethra:

This procedure connects the penile urethra so the part of the urethra inside the phallus itself to your biological urethra that was elongated in the first step of the phalloplasty surgical procedure. The connection of the urethra is made by creating a tube from the skin of the scrotum between the openings of both parts of the urethra.

Note that the anatomical makeup of the phallus is composed of only skin, fatty tissue, blood vessels, and nerves.

It does not contain any muscles or a sphincter (a muscle that opens and closes like your butt does aka "the breakwall"), which means that after the second step, you may have to empty your urine either temporarily or permanently manually from the portion of the phallus by applying pressure to the phallus. (UL Article)

A minimum of a six month waiting period is necessary between this and the next stage planning.

Permanent hair removal from the area that will be used to construct the urethra is also required to avoid complications (unless during the consult the doctor states otherwise). Note that it is impossible to determine in advance which area will be depilated since it must be evaluated after Step one. It is at this time that you will receive information about hair removal,

The third step:

Involves insertion of implants (erectile device and testicular implants).

This procedure will allow you to be able to get an erection in your penis (phallus) and now you have the ability of penetrative sex. Erectile Devcies Post

You will have to wait a minimum of three to six months after the second step (healing and surgeon(s) pending) and have no urinary problems before planning the third step. If complications do come up, they will have to be completely treated and healed before the implant surgery can be performed.

"Depending on the surgeon's assessment, the second and third steps may be reversed." (Source1)

Everyone has to decide whether to undergo one, two, or all three steps. Meaning you can stop after any phase/step of the three)

This choice is super personal and must be made according to what you need, your expectations of the outcome, and the impact it has on your daily life.

There are a few factors that may influence your decisions, such as wanting to urinate while standing, the desire to have penetrative sex, having more masculine genitalia, etc.

The estimated time to complete all three stages of phalloplasty can vary from two to three years, including the waiting I'm between surgeries.

These results may vary according to the age, weight, quality, and elasticity of the skin at the donor site, the scarring process, lifestyle habits and the overall health of the patients, healing, how well you take care of yourself, etc. The radial forearm free-flap technique is shown to produce the best results from bottom masculinizing surgery options.

Mandatory Prerequisites for Phalloplasty:

Hysterectomy with removal of the cervix done minimum six months before the phalloplasty procedure. *There are two options for this: removing the uterus only (called "total hysterectomy"), or option two removing the uterus, fallopian tubes, and the ovaries, also called "total hysterectomy with salpingo-oophorectomy"*

Permanent hair removal (second step when recommended to start). The recommended options are laser hair removal or electrolysis, which may be more beneficial for results. from the area of the phallus donor site to prevent complications with hair growth (fistuals), which can cause issues such as infection and even surgerical intervention to fix the issue area(s). Surgeons typically like to see the graft site not have any hair growth for a minimum of three months.

Talk to your primary physician and/or gynecologist to help you make an informed decision about your choice on the type of hysterectomy you get.

And talk to your surgeon and your primary doctor about which option of hair removal is better suited if one is not insisted on you using it.

A vaginectomy can be removed since only 2 cm will be used for the phallus.

Body Mass Index (BMI)

Before phalloplasty can be performed, it is important to know that you must have a healthy weight or have a BMI under 30, and you can not have excessive fat accumulation in your abdominal area.

"Being overweight and abdominal fat can compromise the connection of blood vessels during the procedure and lead to significant surgical complications.

If your BMI is 31 or higher you be most likely required to lose weight before the surgeon will perform the procedure.

Patients with a high BMI also have a decreased potential for healing and decreased satisfaction with surgical results." - (Source1)

Source List:

Source1 -GRS Montreal,Quebec, Canada - downloadable PDF -used as the direct quotes and most of the information

John Hopkins Hospital - used for an information source. -https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/phalloplasty-for-gender-affirmation

Cleveland Clinic -an information source (I barely used this)- https://my.clevelandclinic.org/health/treatments/21585-phalloplasty

Article- Self written on Urethra Lengthening Procedure

Article- Self Written - Erectile Devices Available

[genderqueerdykes]

please don't forget to check out our queer resources page if you are in need of help

sometimes you don't want to send an ask or look through tags and that's totally cool! we've compiled a queer resources page on our blog where you can easily look for what you need. please feel free to use the find in page option in your browser to find what you're looking for

we will continue to add resources as time goes on!

[dysphoric-culture-is]

Hey so with the barbie movie coming out mod is once again seeing comments like “I’m nonbinary and wish I could just have flat genitalia like a doll, it would take away my dysphoria”. Mod got a dysphoric culture ask about it like 2 years ago actually and now there are more so:

This is possible.

If your transition goal is to have a complete removal of all your internal and external genitalia, there is a real surgery that people get to do that. It’s called genital nullification.

It’s also called nullectomy or nullo.

It’s not a very new or super complicated surgery. Everything is taken out/taken off and you’re left with just a hole for your urethra (where you urinate out of). The urethra may be moved as part of surgery. If you research the procedure you’ll also probably hear them talk about urethral shortening, because nullification is mostly done on cis men/transfems/nonbinary patients who require a penectomy as part of the surgery.

Now don’t get this for an aesthetic or because you like how dolls look. It takes 6-8 weeks of recovery and is as serious a decision as any other bottom surgery. More info is here and here. This website has some info and pictures (graphic warning) of nullification along with phallus-preserving vaginoplasty, another nonbinary surgery.

Hopefully this helps someone!

[certifiedsexed]

Hello. I feel I want to know about how sex feels like post-bottom-surgery but I'm too embarrassed / don't want to make other trans women feel uncomfortable... to actually ask anyone I know? Is this something you can advise upon?

Hi! That makes sense. It can be very hard to find information on bottom surgery, sex aside. Now, I don't have personal experience but these are some trans women's accounts of it here, here and here.

Also asking on "r/MTF" on Reddit, or "r/askatransgender" could be helpful! That way, you're not approaching any other trans women directly and if they're not interested in answering, they can just scroll away. And there might also be others with resources I don't have. [Anyone who has any resources/info, feel free to add on!]

Hope this helps! Lemme know, especially if you have anymore questions. <3

[genderkoolaid]

i think "nonbinary" can be useful but a lot of times the way it is being used isn't helpful to actually discussing nonbinary people, especially since it is a HUGE umbrella term with very few boundaries. like there are nonbinary men & women, so positioning "nonbinary" as something intrinsically separate from man/woman isn't accurate. or there are times where it would be more useful to name the specific group (like multigender people, androgynes, abinary/aphorians) rather than a much vaguer term

in general the problem is that our language to describe nonbinary existence is basically some scraps held together with duct tape. there's sooo many ways in which nonbinary people are erased or binaried through language. not just through the lack of gender neutral options but the la of blatantly genderqueer ones.

i kinda feel like as of right now, nonbinary-ness is pretty slapdash & all over the place and it would be helpful to have a large-scale discussion on what terminology would be best for discussing things like exorsexism and it's various aspects, and how to talk about nonbinary people without homogenizing us, while ALSO acknowledging the need for umbrella terms that can cover a range of individual identities, even if people don't personally identify with the umbrella term itself. & on that note we should also probably discuss the issue of. like. perfectionism wrt nonbinary language & the way that potentially useful terms get lost bc of it. I don't think nonbinary people can really achieve meaningful equality and inclusion on the same level until we are able to have equally diverse and useful ways of describing ourselves, and a stronger understanding of how we relate to each other as a community.

[decompose1]

I keep considering making a lil blog to compile resources n keep handy a lot of sources/log surgery stuff/etc for a variety of trans ppl but i am unsure just bc of how much negative and/or discoursey attention they tend to attract

[answersfromzestual]

Please Reblog this Post Trans Community and Allies.

I am Zestual (some know me as Shadow), and I run a blog for female to male transition and have for almost four years now.

A little about me I am a retired social worker and addictions counsellor. I have completed all surgeries (last one was just over a decade ago). I've had chest surgery, I've had phalloplasy. I actually enjoy sleuthing the internet for proper information to inform the community that phalloplasty is not bad, and not nearly as risky as many say. As long as you take care of yourself pre and post op you will have a phallis that you've dreamed of.

This includes hormone treatments, top surgeries, metoidioplasty, phalloplasty, and much much more.

If you are looking for a resource that only uses reputable sources and is a source of unbiased information on transition.

Here is the blog directory:

https://www.tumblr.com/answersfromzestual/748974533324800000/improved-blog-directory-find-what-you-need?source=share

Feel free to ask question, send in concerns or questions. I welcome all blog related questions, comments, and concerns.

-Zestual

[genderqueerdykes]

does anyone have good resources for locating bottom surgery doctors? im specifically looking for docs who do metoidioplasty

[magnetothemagnificent]

I find it interesting how people don't seem to know about or expect trans men to get bottom surgery or other masculinizing surgery and treat top surgery as *the* surgery. Like, I saw my anthropology mentor today and I hadn't seen her since before I had surgery, and she said something along the lines of like "it must be such a relief to get *the* big surgery over with", as if top surgery would be the only major surgery I could feasibly get over the course of my transition. And you see this a lot with people equating trans men with having a vulva, using terms like "boypussy" (a personal ick) when referring to sexual experiences involving trans men, as if trans men couldn't possibly have other genitalia. And of course facial masculinization surgery is also a thing many trans men opt for, but it is never talked about as even a potential resource for trans men, despite it being a valid option.

Personally, I think top surgery is it for me. I would love to be able to get bottom surgery, but unfortunately I have genitourinary disorders and I don't think it's a good idea to mess with anything down there. But if I didn't have those disorders, bottom surgery would not be off the table. And getting a hysterectomy or something similar certainly is *not* off the table, I would like to get some sort of sterilization procedure at some point.

I don't know if this is part of people thinking trans men somehow have an easier time "passing" than other trans people without significant intervention (we don't) or people being uncomfortable with the idea of trans men "ruining" our femalehood, or maybe it's a combination of both ideas and others, but it's just such a frustrating phenomena.

[answersfromzestual]

Penile/ Phalloplasty Erectile Devices

There are two main types of penile implants:

Inflatable Devices

Semi-Rigid Rods Device

We will go over inflatable devices first. There are two mainly used types of inflatable penile implants used in phalloplasty, as well as cis men with health issues.

What are they?

Inflatable devices are the most common type of penile implant used, especially on phalloplasty procedures.

The two types are:

Three- Piece Penile Implant

Source

Three-piece inflatable implants use a fluid-filled reservoir implanted under the abdominal wall, a pump [in your main hand side] and a release valve placed inside the scrotum [and slightly located above the pumping mechanism], and two inflatable cylinders located on each side of the penis.

To achieve an erection, you pump the fluid, which is salt water (saline fluid), from the reservoir into the cylinders. Afterward, you release the valve inside the scrotum to drain the fluid back into the reservoir. Usually, this is done by holding a small button on the release valve.

In both devices, the reservoir is filled with salt water (saline water) the day of surgery and remains in the device.

This particular system [three-piece] is how I get an erection/ deflate my erection.

Two - Piece Penile Implant

Source

The two-piece model works similar to the three- piece, but the fluid reservoir is part of the pump implanted in the scrotum. This device is not the most effective at maintaining total flaccidity (it may sometimes look slightly erect). This device has more limitations on types and styles of penetration/sex. Be sure to ask if there are limitations with the device and its particular model that was implanted.

In both devices, the reservoir is filled with salt water (saline water) the day of surgery and remains in the device.

The last commonly used erectile device is called:

Semi-Rigid Rod Penile Implant

Source

Semirigid rod devices styles are always firm. The penis can be bent away from the body for sexual activity and toward the body for concealment. There is no inflating or deflating.

A "positionable penile implant" is a semirigid device with a central series of segments that are held together with a spring on each end. It can maintain upward and downward positions better than other semirigid rods can.

What is best for you? Comparison Images:

Source

Most clinics have their own style of procedure that involves a certain type of erectile device. You may or may not have a choice with certain clinics, so make sure you research clinics and make sure they fit with your chosen device and procedure.

This article was written about just implantation of these devices in general, the different devices, and their functions. If you are interested in sexual intercourse, especially penetration, consider where you want to penetrate.

For example, some men are not able to perform anal sex with the two-piece option, while some men are able. Always ask your doctor before leaving the clinic about the sexual acts you can/ cannot perform. You can seriously injure yourself if you try something your device is not capable of.

I hope you enjoyed the article and know a little bit more about the selection of erectile devices for phalloplasty. I hope this helps you make an informed decision.

Stay Golden Everyone ✌️ 💙 💜

Source used 1

Source used 2

Source used 3

[answersfromzestual]

Hello there!

I run a ftm transition blog that mainly focuses on phalloplasty, but I do have several articles on other types of surgeries and procedures as well.

Please check out my blog directory, I also take questions, comments, and concerns.

i wish ppl didnt shit so hard on (transmasc) bottom surgery man. i feel like i wouldve looked into a metoidioplasty a lot sooner if i hadnt seen all of the negativity and stigma surrounding phallo and metoidioplasties. but as soon as i actually looked into it i realized it was something i want! extremely bad! and i feel like a lot of other transmascs would want bottom surgery if they actually knew more about different types and results

[genderkoolaid]

crazy because like. to anyone who has ever spent any time in transmasc/trans man spaces sex ed is such a necessity, especially if youre on t. so many people dont know about atrophy and the effects and how to be safe about it. so many people dont know about bottom growth and expect a trans man 10 years on t's genitalia to look no different to a cis woman - i know countless trans men whos partners left them when they started t solely because they got weirded out by bottom growth. i personally dont bottom and SO many cis and trans people dont even consider that to be a possibility for a sexually active transmasc. the comments being like "oooh its so obvious just talk to them like anyone else" yeah but also itd be great if everyone was more aware, its kind of annoying to explain all this stuff every single time you wanna hook up, and for a lot of people to still get freaked out at the sight of a naked trans man

Fr!! The amount of people in the comments of that post being snarky about "oh just ask" like. it's clear those people haven't read Fucking Trans Women because that zine starts by talking about /why/ having resources for good trans sex is important, how even trans people ourselves often don't have the words or knowledge to express to a lover how we want to be touched or what feels good. It is in fact very nice to have sex with someone who is already familiar with what your body looks like and how it might function.

& the assumptions… for one like you said, people not knowing what a trans man's genitals can look like. People who think every trans man is gonna be clean shaven down there, or who don't realize (like you said) that testosterone Does Things To Your Dick. & the assumption that every trans man who is attracted to women is a stone top & every trans man attracted to men is a bottom. Or that if you aren't topping, you NEED to involve a hole. For me this is less a trans thing & more body-weirdness-possibly-intersex thing, but like. My mind has always been more focused on my clit/dick, and penetration is something that's extra at best. You don't need to penetrate anything. Just because a hole is there doesn't mean it needs something in it.

Also!! We need more appreciation for bottom surgery dicks!!! I'm tired of only seeing them in clinical contexts. I need to see 30 minutes of someone lovingly sucking on phallo cock stat. I need meta dick worship. Even the sex ed things I've seen talk about phallo and meta do so in such… frankly unsexy ways, that don't do much to make having sex with a neocock sound positive. I need us to start romanticizing and sexualizing bottom surgery.

[gay-otlc]

This is a take I've seen fairly often- that trans men & mascs only think they experience transandrophobia because they refuse to accept that what they're experiencing is misogyny.

It's also a completely ridiculous take. The fact that trans men/mascs are targeted by misogyny is a fundamental part of transandrophobia theory. Trans men/mascs, and others who regularly discuss transandrophobia, emphasize over and over again the ways in which trans men/mascs experience misogyny. For example, the idea that they are women and therefore are too stupid and brainwashed to be trusted about their genders, or the sense of entitlement to trans men/mascs' bodies (how dare you ruin your perfect breasts, how dare you transition in a way that makes you unable to carry children, how dare you not be the beautiful woman i want you to be).

In fact, the people who deny that trans men/mascs experience misogyny tend to be the same people who argue against the concept of transandrophobia. They insist that trans men receive male privilege, and in fact actually benefit from misogyny rather than suffer from it.

When trans men/mascs point the ways that they are affected by misogyny, they are accused of spreading TERF rhetoric (as though acknowledging the ways in which people who were assigned female at birth are oppressed automatically means you believe in "sex consciousness" and "afab unity" against anyone assigned male at birth"), or accused of implying that trans women aren't affected by misogyny (they absolutely are, the belief that trans men and women can't both be affected by misogyny stems from oppositional sexism)

All this to say: The people who talk about transandrophobia are well aware that trans men/mascs suffer from misogyny, and aren't denying this out of dysphoria or internalized misogyny- they aren't denying this at all. The people who deny that trans men/mascs suffer from misogyny are the people who believe transandrophobia doesn't exist.

And, transandrophobia isn't "just misogyny." Misogyny is a crucial component of transandrophobia- again, no one who talkes about transandrophobia is denying this- but not the only component.

Trans men/mascs being denied access to gynecological healthcare (that cis women are able to access) because they appear to be men, or have their gender legally changed to male isn't "just misogyny."

Trans men/mascs to losing their friends, support, and abuse and mental health resources when they come out and transition, or reach a point of being "too masculine," isn't "just misogyny".

The belief that going on testosterone will make trans men/mascs dangerous and violent, and the negative rhetoric about bottom surgery, isn't "just misogyny."

Being called a gender traitor and accused siding with the enemy and only transitioning to gain male privilege isn't "just misogyny."

Trans men/mascs being impregnated specifically as a method of forcing them to detransition isn't "just misogyny."

Choosing to use a women's bathroom (either due to safety concerns or transphobic laws) and being kicked out or assaulted for looking male isn't "just misogyny."

Trans men/mascs getting violently attacked because "if you want to be a man so bad, I'll beat you up like one" isn't "just misogyny."

People who talk about transandrophobia very much recognize that trans men/mascs experience misogyny (and are trying to get people who deny transandrophobia to recognize this as well), and there are aspects of transandrophobia that go beyond "just misogyny." Neither of these things contradict each other. In conclusion, "'transandrophobia' is just misogyny but transmascs don't want to admit it" is completely false all around, so I wish it wasn't such a commonly held belief.

[notsocheezy]

I reblogged this without comment earlier, but I think maybe I shouldn't have. Sure, I want to believe this is all true, and much of it absolutely is, but there are parts that just don't make sense to me.

I know I'm only eight weeks out from surgery. I'm not an authority on the topic. But I've done months of continuing internet research on all this, and seeing this post earlier this year was part of what gave me the confidence to go through with the procedure.

Here's what's got me confused, all things I just sort of accepted before:

2. I've been repeating this one to people who have questioned my transition, and not that it matters, but... Do gynecologists not notice that it just bottoms out in there? There's no uterus. I think about it for a moment and I don't get it. Also, isn't the color different? It is for me. My surgeon told me the only method with pink on the inside is colonic (put a pin in that).

3. There is little data to be found on dilation after a year - or at least, if there is, the surgeons aren't paying any attention to it. They can't seem to agree on how often one needs to dilate, but my care team recommends thrice a day for three months, twice a day for another three, and once daily indefinitely. Others recommend once a day from the beginning and only once a week after a year. There are different answers depending on which hospital website you check. But what I can say for sure is that it's misleading at best to say this without clarifying that during early healing you need to dilate to keep it from losing depth/width or closing shut. Every source agrees on that.

4+5. Self-lubrication and self-cleaning are more or less the same thing. My question is this: what "spare internal mucosa"? The closest thing to that that I've heard of is the colonic method, which has perhaps even more misinformation around it than any other vaginoplasty. Needless to say, the colon is not "spare," it's an important part of the digestive tract and taking a piece of it has implications on recovery. Recovery I would not so far describe as "not that bad" (see my V-Day posts for further detail - I had Peritoneum Pull-Through, essentially Penile Inversion with pizzazz).

6. That's great, but anecdotal evidence is not evidence. The only study I've personally seen on this says we're slightly more prone to UTIs, especially as we age. It isn't settled science, but it does make me very sad.

Maybe I'm way off on all of these points. Maybe that magic vagina really exists and maybe someday mine will be like that too. I want to believe that, I really do. But I can't see it, not after everything I've been through.

I think what I'm doing here, broadly, is adding more context, rather than accusing the OP of lying. I chose not to get a colonic vaginoplasty because I didn't want to risk more complications or put up with constant discharge for the rest of my life. Frankly, I like sleeping in the nude and I can't afford new sheets every month. If this was never actually a problem, I'm disappointed that even surgeons would make unproven claims that haven't even been studied.

But if this post is intentionally misleading, let me remind everyone of a general rule: Misinformation is still misinformation even if it makes you feel warm and fuzzy inside. And even that sort can hurt you.

Yeah so anyways, contrary to popular misconceptions and fear mongering spread by bigots, post op trans women's vaginas are amazing actually. 💛

[certifiedsexed]

how does bottom surgery make one infertile (mtf)

curious as to how it works

ID: A screenshot of an ask from @yurimartyr with text reading: "i meant hrt [crying emoji]"

Love this question!

So, HRT doesn't "make" you infertile. It can cause decreased sperm production, which can lead to [possible] infertility. With decreased sperm, it can become harder to impregnate someone because you have less "material" to do so with and that number can decrease to the point it falls under infertility.

It's not anything close to a guarantee but it is a possibility.

[Keep in mind that like the myth that testosterone works as "birth control", it's not as common as you'd think for HRT like estrogen to actually cause infertility and this means if you're having sex on HRT with someone who has the ability to get pregnant and one of you doesn't want a pregnancy, you should definitely be wearing a condom for sex that could cause pregnancy! Because it can and does happen! Even if you are infertile!]

Infertility on HRT is a huge topic of fear-mongering, to the extent that many trans people [especially MTF/transfems] people are told it's a definite side effect of HRT and that it's permanent, neither of which are true.

It depends on your body and how long you're on HRT but it's also been shown that it's likely conditional infertility, meaning if you were experiencing infertility, then you could go off HRT and simply wait to become fertile again.

I hope I explained this okay. Lemme know, especially if you have any other questions or want resources. <3

[genderqueerdykes]

(this is from an ask that wished to remain anonymous- we have anons turned off for the moment. we will turn them back on once we're in less of a stressful situation.)

that's a perfectly fine question to ask! bottom growth is an effect of testosterone HRT that causes the clitoris to grow in size. some people have very little growth, others can become very large. it doesn't cause someone to grow a fully fledged penis, but, whenever a clitoris has grown sufficiently, it does mimic the appearance of a penis, even with the clitoral hood becoming much like foreskin. the head of tdicks (which is what many people choose to call clitorises affected by bottom growth) even grows to look strikingly similar to penises! there are surgeries you can get like metoidioplasties and simple releases that can help a person with a tdick become more visibly erect when aroused, as well, which is very cool. you can also have surgery done to have your urethra re-routed through your tdick, which is too risky for me as someone who already deals with incontinence issues, but i think it's an amazing option!

some people never really see a lot of growth on testosterone, however, and that's important to be noted. not everyone gets a ton of growth, this can be dependent on how well a person tolerates the medication, their dose, whether or not the person is intersex or intolerant to testosterone, and their biology in general.

are you interested in phalloplasty? if so I have some links on my resources page on my blog that may help you:

and here are some resources containing information about getting vaginal-preserving phalloplasties:

if you have any more questions feel free to ask! I appreciate you stopping by!