#srs surgery

[monicascot]

Career Gender Therapist | Deep Concerns With Gender Affirming Care | Hasty Irreversible Treatments

Sara Stockton, a gender therapist, is calling for a change in the way gender dysphoria is treated as it has become an epidemic. She discusses how the mental and physical health treatment of transgenders has shifted drastically in the last decade.

[genderqueerdykes]

getting sex reassignment surgeries willingly is not gross. getting top surgery is not gross. having breasts removed is not gross. having breast enlargement surgeries is not gross. getting bottom surgery is not gross. bodies with phalloplasties are not gross. bodies with metoidioplasties are not gross. bodies with orchiectomies are not gross. bodies with vaginoplasties are not gross. bodies with hysterectomies are not gross. bodies with penectomies are not gross. post-op top surgery chests are not gross. post-op bottom surgery genitals are not gross.

we need to do people who have gotten surgeries better. trans bodies are beautiful and people deserve to be the happiest they can in their own bodies. trans bodies are not gross. you will encounter people who have gotten surgeries and you'll never be any the wiser. trans bodies are beautiful.

[thotsoflore]

it's still really hard to believe that I made it. Even in the pre-op there was a part of me that was convinced that I would have this dick forever and that I'd never be fixed... but I did! I have a vagina now! and a vulva! and even though my pussy is swollen and bruised I almost cry every time I see it because it's so beautiful.

You can make it too. It's doable. It's hard and takes a lot of energy but you can do it. I believe in you.

If anyone ever needs help with bottom surgery, please DM me. If I can help, I will. You'll make it to the finish line. I believe in you.

[whereserpentswalk]

Reblog if you love transmasc cock and/or transfem pussy!

[woodlandwizard77]

A Step by Step Guide to Losing Your D**k

I recently wrote a series of messages to my aunt talking about all the steps I need to do to get bottom surgery, a penile inversion vaginoplasty at Mt. Sinai, in the next year or two. Its a long list. And everytime I added something she had a sort of “wow thats rough” reaction, but to me its just the to do list. So I decided to write them all out.

Start transition DONE

Most insurance companies and surgeons require you to have socially transitioned and have done HRT for at least 1 year at the time of operation

For social transition, this was March of 2024

For HRT it will be January of 2025

Get a referral to a surgeon (I am here)

In my case, Mt. Sinai in Manhattan

My Doctor referred me, but Mt. Sinai takes self referrals

Start laser hair removal

Book a consultation (I am here)

Go to laser frequently enough to satisfy surgeon

Convince Mom and Dad to help out DONE

Get 2 letters

Social Worker (1)

PCP's Office

Social Worker (2)

Mt. Sinai

Get a gender affirmation loan through the local credit union

Work two weeks so I can take in pay stubs

Get a letter from anybody (probably my HRT prescriber

Meet with representative and either open a line of credit or take out a loan

Consultation with Mt. Sinai’s team

Wait 3-6 months (I’m here)

Bring letters

My insurance only requires 2, less than Mt. Sinai thinks insurance will need, and Mt. Sinai provides 1 of them. Meaning the other is through IHS Behavioral

Schedule Social Work pre surgical consult appt

Schedule Mental Health and Medical Clearance with Registrar

Go to NYC for 1-2 nights, maybe for each, hopefully just once

Maybe also for Social Work thing

Consult with Surgeon

Wait until I’ve worked about 12 months to get short term disability

Probably summer (ASAP) and when Mom has time off

Do logistics

Book an airbnb, hotel, etc for recovery

Starting a few days after OR date and lasting a little over a month

Within a 90 minute drive of Mt. Sinai

Rural enough that Mom is comfortable to help and can go home if someone else shows up

Probably New Jersey, maybe Hudson Valley

Has at least 1, preferably 2, separate bedrooms

Has 2 beds

Has ADA accessible entry

Has a kitchen

Has a full bath, preferably and a half

Has internet and preferably a TV

Lodging for Mom + Dad/care team while I’m in OR

Probably 5-7 days

Preferably with a 1-2 day buffer period before OR date (included in the 7 day estimate) so I can enjoy the city

Either within a short walk from Mt. Sinai or on the same subway line as Mt. Sinai

RW, 1, or ACE

Someone to help me get from recovery location to Mt. Sinai while not in NYC

Develop and get list of items needed for recovery

Dilator

Pads

Gowns/loose clothing

Comfort food

Coordinate missing 8-9 weeks of work

Take care with who knows what before I leave

Inform HR, department manager, and work friends whats up

Get cleared for surgery and get an OR date

Probably a 6-12 month date from clearance

Get pre clearance testing through PCP or a lab in hometown

Go to NYC for that if need be

Week Before Surgery

No alcohol, no aspirin, NSAIDs, herbal supplements, or fish oil

Consult for other non aspirin blood thinners (which I am not on)

No alcohol for 3 weeks after as well

Tylenol/Acetaminophen is okay

Go downstate

See friends from NYC?

Bring Mom/Dad?

Do something fun in Manhattan

Get a COVID test

Take an anti-bacterial bath

Day before surgery

Breakfast before 9am

Last meal

Drink Golytely bowel solution around noon

Chemically induced diarrhea

Clear fluids only after golytely

(includes coffee, tea, water, broth, some juices)

Nothing goes in the stomach after midnight

Some medication okay with a sip of water

HRT???

Get surgery (a penile inversion vaginoplasty)

1 to 1+½ days

I’ve heard of as long as three

3-5 day hospital stay

Mom and Dad probably stay in Manhattan then

Go to recovery location

Drive with seat reclined

Stay for 4 weeks, pretty much bedridden

Go to follow ups

Dilate

Go home

Continue recovery for another 2-4 weeks at home

Follow up with PCP

Return to life

[theratsgotinsideagain]

Here's some old iterator designs I never finished. Most of this is pretty different to how I draw them now

[contagious-watermelon]

now listen. i love me some normalization of "unexpected" genitals for men and women as much as the next guy. but at some point it starts to feel like you guys have forgotten that bottom surgery is a thing that exists and that many trans people get

[xxxbloodskiesdarkwaterxxx]

i am so sick and tired of people equating top surgery to transmasculinity

[jenny-in-a-jar]

One week since my Surgery

People liked hearing about my trans journey, so for those interested, here's my first week update to having vaginoplasty (one type of mtf bottom surgery).

Of course, I hope this helps any transfem interested in this surgery. But, I understand that other people will be curious. And that's ok! There's nothing wrong with curiosity. Just be respectful ❤️ which a lot of people been (and I block those who aren't)

No pictures but I will go get a bit graphic with my description so here's your warning before hearing more.

So first off some disclaimers. There's a lot of variety in procedure and treatment when it comes to vaginoplasty. For example, I live pretty close to the hospital I had the surgery at which influenced how early they let me go home. So, my experiences are definitely not universal.

So, I had breast augmentation at the same time. And for me, that was definitely the easiest surgery I've ever gotten. Like pretty painless (with painkillers ofc).

Now, vaginoplasty is definitely the most painful procedure I've had! The best way to describe the pain day one would be like when you've tucked all day but more intense (I know not a lot of people have tucked on this app but it's the best metaphor I could come up with 🤷‍♀️). But as the week went on, the catheter definitely became the most painful part. It felt like my urethra was burning 🔥😬 (I bet a lot more people can understand that feeling lol). Interestingly, it was at its least painful while moving and moving is also good for recovery!

I stayed in the hospital for two nights before they removed the covering and sent me home with a catheter and packing in my vagina. Again, they probably only did it this way because I live 20 minutes away. As the weak went on, it swelled up a lot and brushing spreads from it across my thighs (in honestly a cool pattern!)

When my catheter and packing was removed they gave me a "tour" of my new vagina. I don't remember the names well but here's what I remember. The Major flaps (the main thing you see when you see a vulva) we're still pretty swollen but starting to loosen and get that wrinkly quality. My nurse likes calming them dog ears at this stage and they really did look like dog ears 🥺🐶. I saw my clitoral hood and she said my clitoris is packed behind all of that but I don't need to worry about that for now. She also pointed out the urethral plating which was formally part of the urethra proper but with the inside on the outside now. It's super blue now but in time it'll start developing a mucus to keep my vagina from getting bone dry (will still need lube for dilation and eventually sex). And then the vagina hole itself.

To keep my vagina from healing shut, I'll need to dilate at least 4 times daily for 20 minutes this first week and a while longer and then slowly ramp down as the hole heals up. But, the nurse stressed that there are no hard rules with dilation and I just need to really listen to my body if I want to get the depth and width I want. Which I do want plenty of depth and width bc tbh my partner will be able to fill it 🤭 they key thing they said was to try to be as relaxed as possible while doing so 🪻

They also filled my bladder with sterile water as a "practice run" to make sure I can pee on my own.

I want to say I got a lot of wonderful nurses! All except the one I had when I first got out of surgery, I could tell actually saw me as and treated me like a woman. And they did a great job at welcoming me vagina ownership in a very understanding way without being condensing 💕

Despite the horrible pain, it's been a very euphoric experience 🥰 and I would definitely recommend it for anyone who wants it.

Feel free to ask any questions, I can't promise I'll have the best answers but I'll try my best 🥺

Also feel free to look through #my trans journey tag for more info on my transition if you're curious ✨

[thotsoflore]

I just got back from having the packing removed and my first dilation! It felt so natural and pleasant. It feels like I was always meant to have this, and it feels so... right. I'm finally whole, and I love it.

[i-am-trans-gwender]

Alternate universe where in Batman and Robin (1997) Batman comes out as both a trans woman and a therian. She medically transitions to an anthro female bat.

Nostalgia Critic: "Bat bottom surgery?" They gave HIM "Bat bottom surgery?" They removed the BALLS of one of the GREATEST SUPERHEROES OF ALL TIME, WITH "BAT BOTTOM SURGERY?" NO! NO! DOES NOT COMPUTE! DOES NOT COMPUTE! *dying gargling noises*

*The Critic is restrained by someone off screen. Caption says "20 minutes later*

Nostalgia Critic: I apologize for that outrage. It was childish and immature. I just get a little peeved when I see one of my childhood icons getting... BAT BOTTOM SURGERY! YOU BASTARDS! I'LL KILL YOU! I'LL KILL ALL OF YOU! YOU'LL ALL DIE, YOU'LL GET THE GAS!

[notsocheezy]

V-Day - The First Twenty-Four Hours

Guess who's got two thumbs and no penis? That's right, this girlish-shaped thing!

👍👍

My "the surgery" went off without a hitch! And it couldn't have happened at a weirder time. The news has been absolutely wild this week, hasn't it? Mass Windows system outages, Biden dropping out of the presidential race... probably some other stuff... I'll be honest, I'm a little woozy from the Oxycodone, so a lot of the past week escapes me at the moment. But let me tell you all about the first day. I still remember most of that.

I arrived at the hospital at about 5AM yesterday, and they had me wipe down with CHG wipes even though I'd just taken a CHG shower. I guess they like to be safe. But it leaves a residue that isn't the most pleasant thing in the world. It's kind of like when you step out of the ocean and the salt dries onto your skin in a fine, well-seasoned flaky layer.

After that, they gave me a morphine injection into my spinal fluid, which according to the pain management guy, reduces the overall necessary intake of opiates/opioids (what is the difference between those anyway?). So far that seems to be very true. My new bits don't hurt in the slightest even now, after the injection has worn off.

On the other hand, though, there has been excruciating pain in my chest and shoulders. You see, this was a laparoscopic surgery performed with a fancy robot - the DaVinci XI - and they had to pump me full of CO2 so they'd have room to work. That's right folks - I'm carbonated. And they didn't just give me one new hole, but an additional five incisions on my abdomen, which also don't really hurt but damn are they itchy. It turns out though, being a human balloon is a really bad experience. If I'd had an inflation kink before, this would probably have killed it in its tracks.

When I woke up in Recovery, I was at 10/10 on the pain scale. It was truly miserable. They had to inject me with Fentanyl (Ooooooh, scary!) just so I could breathe. Once they did, though, I was fine. That is, until they moved me onto the bed in my room several hours later. Now the pain comes and goes, but I'm on pills for that.

Other than the chest pain, the most uncomfortable thing is the catheter. It constantly feels like I've just gotten back from a long road trip without pit stops, or the credits just rolled on an IMAX screening of Oppenheimer (I saw that twice, by the way). I have to pee so damn bad, but I'm just kinda... always peeing. Very weird. Nice not to have to get up, but I'm not even really allowed to get up. Which is a shame, because I'm told moving around will help the CO2, ahem, escape. Via the most obvious channel, of course.

On that note, I was on a liquid diet until about an hour ago, and now I've got an omelet and some oatmeal that they forgot to put sugar or salt in. They really want to get my guts up and running again - they gave me a laxative and a stool softener. But I'm nervous about getting up from the bed. I've got more wires attached to me than my PC at home, so I'll need to unhook everything to get to the bathroom.

Anyway, other than being misgendered a concerning amount of times by people who should be able to read the word "vaginoplasty" on my chart, everyone has been very kind. I thought I'd be more scared and depressed being left in the hospital by myself, with all my loved ones hours away, but I've been able to make friends with the nurses.

If you're on the fence about getting this done because you're scared of the recovery process, don't worry. I'm only a day in and I'm doing just fine. Electrolysis was significantly more painful down there than this is. Can't speak for more traditional methods, but the robot is damn good. I, for one, welcome our new robotic sex-change overlords.

Anyway, stay tuned for more. I'm here all week.

[grecoromanyaoi]

i mean. as a medicated trans person,

[leclercskiesahead]

[randygrim]

A little seven red suns concept cuz I can draw again let's gooo

[proteusolm]

I think my doctor's office must have messed up on my paperwork for top surgery approval somehow. Asking around and it seems like the current wait time to hear back is from couple days to a couple weeks. And I've been waiting a month 😑