#bottom surgeries

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phallo can include anywhere between 2 and 4 surgeries, depending on your needs and the surgical technique.  (assuming no complications)Similarly, meta can include anywhere between 1 to 3 surgeries (again, assuming no complications), depending on your needs and the surgical technique.  If you’re looking for a urethra that you can pee from while standing, and a scrotum with testicles, it’s usually a minimum of two surgeries.  It’s important to consider the surgical intensity in respect to the level of dysphoria and your own needs.  What will bring you the most peace?Mod mayhem

I can’t tell if you’re asking if it would be possible to have everything removed (ovaries, uterus, tubes) with no further HRT (at your age, even in a liberal area, it’s not likely but i’ve known people who were able to manage it).  as we’ve discussed before there’s a severe risk of multiple health risks from early surgical menopause (heart attack, stroke, mental health concerns, early death, broken bones and disability, etc).  If you’re simply just asking about any form of medical sterilization, i think it’s much more likely, in Seattle or another liberal area.  Things like tubal ligation, endometrial ablation are generally considered permanent but do not carry the same risks as removing native hormones at such an early age.  You may find some doctors give you difficulties based on your age, and depending on the source of payment (insurance, private pay, state insurance), you may have additional hoops to jump through.  If necessary, continue to appeal any denials.  Denial on the basis of age is illegal under of federal law.  Mod mayhem

lots of people have asked or wondered about this.  most surgeons don’t allow it because it drastically increases the risk of complications due to the increased scar tissue.  There are a few surgeons who will as long as you’ve gone to them for each step of the way.  it’s important, if this is your plan, to discuss this with your choice of surgeon.  you may not have all options (meta with urethral lengthening) available to you, again, due to risk of complications for the future surgery. (i was hoping for this path too, myself. it didn’t meet my needs ultimately)Mod mayhem 

Hi, glad we have all pieces of the puzzle for you. Okay thanks for your patience.  I found your part one and i think i’ve got your answerthe procedure you’re talking about is called a meta/meto in the trans community, short for metoidioplasty.  They take you clitoris, now enlarged from testosterone and can take a thin tube of cells from your cheek or vagina to make a longer urethra that runs from where yours stops now (inside the body) to the tip.  There are also some ligament inside the body that act like “tie-downs” on the clitoris that many doctors will cut partially or totally to help it stretch.  that lets the erections you naturally get on T be larger.   There are modifications that doctors do to this procedure, some can do a bit of things to make it marginally thicker, but that’s just difference in technique.  Generally, there’s no loss in sensation, and no loss in erection function.  If you were to lose sensation, they could do microsurgical grafting with a nerve from another location to hopefully restore sensation (it’s the same way they get the sensation in the OTHER type of surgery (phalloplasty).  It hooks nerves with good sensation to damaged nerves so they can feel things again.  What you’re probably hearing about needing a surgery to get an erection ONLY happens in phalloplasty.  they implant a device (either an inflatable pump or a bendable rod) inside the new penis they built for you, which allows you to become erect on demand (but not automatically from arousal).  There are other options for sex if you chose not to have this implant but do want this procedure- there is a scaffold type external device called The Elator that slips on the outside, and other similar external solutions (worn with condoms).  Hope i answered what you needed to know! -mod mayhem