Sep 16, 2025
bottom surgery.....
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bottom surgery.....
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Well, I didn't want to do this but I feel I have to. I finally had my bottom surgery consultation and things were looking up. Just needed a few more months to save up the money to pay my bills while I'm in recovery. But then I got hit while driving on the freeway and repairs are taking almost all of the money I had saved up. Now suddenly I don't have the money for even the surgery expense, let alone two months without income while I recover. I started a gofundme to help financially support me during this time. If anybody has a few spare dollars they'd be willing to share, a small donation would really go a long way. Even just sharing the link around would help me out a ton. https://gofund.me/2efb62852 Thank you, and I appreciate you taking the time to read.
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
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??? (switched to injections)
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
I would get bottom surgery. I would. It's honestly a lot more advanced than people try to make it out to be. Transphobes deliberately spread misinformation regarding the nature of bottom surgery to make it seem less advanced than it is (trust me, this surgery is awesome).
Unfortunately, I am part of a very small minority of people who remember what it is like to be under anesthesia after having been under anestheisa.
And I think that that would suck. Because? Like? I can barely watch videos of it (some are linked for vaginoplasty on the transgender dictionary but not phalloplasty i dont think so far) i dont want to remember it
https://pensarecool.neocities.org/thetransgenderdictionary/p/phalloplasty
https://pensarecool.neocities.org/thetransgenderdictionary/v/vaginoplasty
Tumblr, make up your mind if i can link things while on mobile.
Anyways, anestheisa. Here is why you shouldn't smoke before surgery.
Tl;dr _ it will fuck up your healing
P.s. _ medical fatphobia is when insurance won't cover the liposuction part of top surgery cause your tits are too big.
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.
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
Free to watch • No registration required • HD streaming
Dilation update: 2 weeks in realised you can fucking clench and unclench your pussy muscles to draw the dilator in further
Yeah sure it's more effective than just trying to relax and push it in from the outside. But more Importantly, it's hot as fuck and Holy Shit our body can just do that now?
I was sitting there telling my fiance about how the main thing discouraging me from bottom surgery is the electrolysis, because it would be a whole year of many many sessions, during which I'd be zapped with sharp pain around my crotch and thighs, and then I was like WAIT A SECOND. I'M A MASOCHIST.
Okay so I talk about my girlfriend's gock a lot, yes. While I love it, a lot... I'm very very very excited for her to get the ~kitty~ she wants <3
...
(but we're not gonna talk about the fact I've been researching mtf bottom surgery to know what she'll get done exactly, possible problems, the process, the healing time, best ways to handle the healing process, how to take care of someone recovering, etc etc. But this is also horrible time to be someone who grew up studying major surgical procedures & also studied infectious diseases... Which in turn gave me the knowledge of what could happen if, for example, surgical instruments were left inside the body. Don't date someone with a medically aligned special interest I suppose? This is what you'll get. I wish I could just magically give my gf a cooch oml)