#phalloplasty

So I had a consult with Dr. Rajveer Purovit at Mount Sinai in NYC, and while I am not remotely trying to get that, it just happened to come up in conversation that yes, he does in fact have patients who have done exactly that. His preferred way of doing things is to do metoidioplasty first, then construct a phallus from abdominal tissue and place it on the groin above the meta phallus, and then have a third stage of surgery where they are combined and urethral lengthening happens. And the PA was just straight up like "yeah, some people do just stop after phase 2 because they like having the appearance and visual of the larger phallo phallus, but the higher sexual stimulation and better ability to pee with the meta phallus."

So. Yeah it turns out. That is not just a tumblr hypothetical. There are trans people walking around right now in the real world with two penises, and this is a normal surgical outcome from a surgeon who is renowned enough to have his own Wikipedia page.

If you are getting gender affirming surgery, especially if it’s your first major surgery, PLEASE be aware that you can become SEVERELY depressed afterwards ESPECIALLY if you have a history of depression or suicidal ideation.

Post op depression is a natural reaction to the crazy mix of hormones your body goes through after major surgery as well as the stress and anxiety of recovery. Think of it like an adrenaline crash, but dragged out longer.

For me it kicked in about 6 weeks after top surgery and the worst of it lasted until about 10 weeks post op. EVERYTHING felt IMPOSSIBLE. None of the skills I’d been practicing worked. I thought everything was going to be bad forever. I didn’t attempt, but I was in the hospital. If it wasn’t for my support system I probably would have attempted.

This is not regret, but it can feel like it. I remain happy about my results to this day (going on six years later).

This is not you failing to maintain your mental health, but it can make you feel like a failure.

Things are not hopeless, but through the haze of this depression they can feel hopeless.

It can be terrifyingly sudden or it can sneak up on you. I didn’t even realize what was going on until after the depression finally passed and my mental health went back to normal.

I am writing this post because nobody told me about this before my top surgery. I was caught completely off guard. For my subsequent surgeries being aware has made all the difference. Being able to treat those symptoms as an expected and normal part of the healing journey has made them far easier to deal with. Because even when my emotions go to dark places I *know* they will pass. I have been able to tell the bad thoughts to take a bad seat and focus on healing.

"But can you feel it?" Post-phalloplasty sensation explained.

“you’re gonna look ugly as a man” “but you’re such a pretty girl, don’t change that” Wrong. You will look different after T, but you will look happy. You will probably grow hair and gain weight and look pretty different, and none of that is bad or makes you less desirable. You are going to look like you and that’s all that matters.

“T makes you angry” “you’re gonna be a scary man i won’t feel safe around you” Wrong. Testosterone does not “make” you angry. Messing with your hormones will mess with your emotions for sure, but you will not immediately become some scary predator when you start T. Being a man/masculine does not make you a threat, a predator, or inherently angry. That’s radfem shit.

“bottom growth is gross” “no one will want you with bottom growth” Wrong. Bottom growth is cool and a LOT of guys end up loving theirs a lot more than they thought they would. For a lot of people it is a desirable trait, there are people who find bottom growth hot and attractive. And! If you’re sure you don’t want it there’s things you can do to work around that, just talk to your provider.

“bottom surgery is super painful and not worth it” First off, call it phalloplasty, because that’s what you’re talking about. Second, yes it’s painful, it’s surgery. There are risks to it and complications can happen, but that’s true of any surgery. Phallo might not be for you, but it is life saving care for other folks. It is beautiful and should be talked about as life saving care and not as some afterthought thing that no one actually does.