When I sought out phallo with UL and no vaginectomy, I just expecting multiple extra surgeries to get things up and running, but instead found out your surgeon might refuse to do more repair attempts.

Ive had 4 fistula repairs done, we had thought things were good after the last one, as my pre stage 2 (where the neurethra would actually be hooked up) cystoscopy showed things were sound. But during surgery, they discovered a small fistula had reopened where some old sutures were dislodged, and that they dont suspect it will heal closed, or would just reopen with the extended length of the urethra and tear even worse.

My team has told me they cant attempt any more repairs without a vaginectomy, and I feel so upset.

Had anyone else been in this position?

TLDR : electrolysis hair removal is now covered by my insurance as an afab, and post op phallo update

Kaiser, Northern California! My story is pretty long, you can check my profile and read about if you want, i talk about post op things and have shared post op healing pics. But to shortly summarize my story, i am afab and had to go on T ( 2005 at 18) to start the process of pursing phalloplasty. It took 20 years unfortunately (i’m 37) but a lot of things set back happened in that time. I have identified as non binary for over a decade. But I didn’t come out as she/they until after I was post phallo. I don’t identify as detrans btw. I just have found peace in my assigned birth gender and dealt with some traumas. Ok moving on.

2025 i’m having FFS and breast reconstruction (T and weightloss took the little bit i tissue that i did have, and left me with muscle and hanging skin, which is why i ever even had a double mastectomy, never had big breasts. i’m super excited. I have my in person consult this month for FFS. I still have to get glans done, but i’m in no rush. I want something super specific and hope that it can be done.

I know some people are curious what it looks like not having scrotoplasty. (I have gotten messages). My outer labia was left in tact and still looks pretty much the same as pre op at first glance if I lift up my beautiful tattooed extended cl*t , (yes I call her beautiful😌). There is still some depth there between the outer labia, not to get too NSFW-ish but yes things can slide in that space, and it feels very erotic esp with lube. Just no front hole to go into bc I had a vaginectomy due to severe genital dysphoria and trauma.

The bottom dysphoria is cured. She has full sensation, gasms are amazing, and now can feel cold temperatures. I can stp no issue. My phallo was successful and Im happy i was able to customize my needs and wants. I’m 14 months post op rff. Thearpy has helped and continues to help with dealing with trauma, among other things. Working on mental health and healing trauma has been a big part of my journey!

Amazing things are happening in my life, both personally and career wise, and despite whats currently going on in my country (usa), i still have some things to smile about!

I will continue to fight and advocate for non binary rights and for those that do not fit into the binary of trans related health care!

We now just wait a few weeks for a verdict.

Something I actually learned in this process is that gender identity and expression were only listed formally in the Ontario Human Rights Code, but not "officially" in the Charter. I hope that this case builds the momentum to get that to change too.

I don't want to say much more (unless anyone has a specific question), but again, hang on because each level is even bigger and more important than the last!

okay this is all probably going to be disjointed and weird but please stick with me here please bc no one has been able to answer my concerns yet so maybe my fellow salmacian freaks can

I mean ZERO disrespect for anyone who did or did not make a decision I say here in a negative light and am only talking about my personal worries and opinions on said decisions and what I view as downsides for me and my body

context: AFAB with transition goals consisting of having a smaller than average penis rather than a clitoris as the main goal with side quests of vocal training to be able to sound like a guy... facial hair sounds nice too but honestly Eh™️

I'm afraid of doing bottom surgery for many reasons, one of which being I don't know how I could hide it from people who know me especially with how up my ass my mother is, but I'm going to focus more on my concerns with the two types I know of for my anatomy, I just felt like saying that for... some reason? sorry

anyway, I've mainly looked into metoidioplasty because all this time that has seemed like The Thing but I also hear it won't really make it any bigger or sometimes not even appear bigger, it just moves it in HOPES of making it appear more penis like or "larger" which while it would make me feel more comfortable in the "it's still my body in the order it was in just a little more how I want it" angle that I want, I'd still prefer to not be stuck with 1 inch or something

phalloplasty scares the SHIT out of me for two reasons: it's blatantly obvious that that's a penis and is harder to hide in situations where I could be hurt emotionally or physically and... I'm gonna be real I don't want a scar on my arm just so I can feel my penits

can someone help me work this out? is there a third option? is there seriously NO getting around going on T for like two fuckin years?

if it helps, my main goals with having a penis are (in order of biggest to least):

feeling (both basic and erotic)

peeing standing up

retention of vagina

bonus points if:

penetration possible

3 to 4 inches

Why is every flair twice available? Is it because it's like a joke? like hehe 2 genitalis👀 well twice as many flairs?

And if it's a oupsies just let it be i think it's funny now😅

This is a bit of a weird question I guess but has vocal feminization surgery been done on anyone who has taken testosterone and has had their voice drop? I am extraordinarily curious about potentially pursuing this surgery, but I haven’t seen anyone talk about this within the FTM realm

Edit: kindly don’t slide into my DMs with detransitioner shit, I’m not detransitioning. Curating my final form ≠ detrans. I’m intersex, I take T as part of my transition.

Hi im mtf, I knew it since i was 8, and since then i felt a little conflicted in my anatomy, i have a regular albeit not very masculine body no health issues.

In the last year My economy has improved a little so i can start thinking about getting GRS.

And that Made me think about options, what do i want, and i don't know if anyone can relate or had seen anyone like this but i came to the conclusión that Even when i want the full girls equipment i would like to not severe the penis but shortening almost to the point of being just the glans, , it's already 3 inches long, half inch in thickness while flácid so it's not so much anyway i think i would like to able to hid it between the labia like some cis girls blessed with a Big clit or something bigger (still shorter and smaller than current), similar to how ftm guys look when they start bottom growth when in hrt If this is against rules plz tell me to take It down, not mean to offend anyone.

Well, January 31st will be my first day of 1 year of HRT and its officially when I start my PPV process. My endo is doing everything thankfully as I no longer have a family doctor (thanks Ontario 🙄). I've been referred for the second opinion or whatever, and now I have to start choosing where I would like to get it done. I don't really know anything, I know there's some places in the States I can go but I'm leaning towards Thailand right now (for no real reason honestly). Does anyone have any advice or a list of places I can get mine done? I have to see if they'll even accept OHIP, so I'm waiting back on an email from some surgical center in Thailand right now. Wish me luck and I'll keep everyone updated but right now the best estimate my Endo could give was 6 months out :))

for context, i am 18ftm and have been out since 11, and have been medically transitioning since 13.

i used to want a sort of straightforward transition— top surgery, torso masculinization, and vagina preserving metoidioplasty (no balls lol). but ive been having some serious doubts about top surgery and im terrified to even admit this to anyone.

my chest is saggy enough that when i have a shirt on i look flat. i dont even think about binding or taping anymore, unless i were to go to the gym or swimming. im so detached from them being a feminine thing on my body, i find myself having less and less dysphoria about them. no one really knows they’re there, they’re fun to stim with (like pull on the loose skin), and ive grown kind of attached to my funny looking boy tits.

but then i think about what that means for me and my gender identity. it terrifies me so so much and gives me dysphoria thinking about it and honestly makes me spiral. i often do thought experiments like “if i woke up tomorrow with a flat chest, how would i feel?” and im so worried id wake up feeling like i was missing a part of myself.

i’m scared that im just too young to make such a permanent decision when it might just me thinking i need to cut em off to be a real man.

Ive been dealing with some gender disforia for quite some time I haven’t started on any HRT or even discussed it with a therapist I’m just making out some plans of what I would want to do that would make me most comfortable

I recently found out about this sub and it helped me answer a lot of questions however I still haven’t seen anyone that done a penile testicle preserving vaginoplasty

I know how it’s done I just never saw the post operation and what it’s like. Does anybody know or have any like pictures of what it looks like see if it’s really what I want

I have questions about the surgery as I plan on possibly getting it in the future.

1: Does the neo-vagina look identical to a natural one?

2: Does the penis' appearance change in any notable way?

3: Where could I get the surgery?

4: How long does it typically take to heal?

5: How expensive is it?

http://Instagram.com/sparkle.is.online

Cross-posted to r/chaosmagic.

If this post is not allowed, my apologies. I will not contest the decision, if it needs to be deleted.

If it IS allowed, I state here my written permission for others to distribute the link, and the images/information found in ts only post, anywhere.

Hey everyone,

I’m new here and have a bunch of questions about phallus-preserving vaginoplasty. I’m hoping to get this surgery in the next decade, focusing on depth and sensitivity. I don't want vulvoplasty or labiaplasty.

Where can I find photos of healed results? Any would be great but ones with no vulvoplasty or labiaplasty would be preferable.

What does penetrative sex feel like? What type of graft did you have, and can you feel / stimulate the prostate through the vagina?

Also, what was the recovery process like? I’m curious about how long it took to heal and any experiences you had during that time.

What were the processes to get the surgery like and how long did it take to get the surgery?

What’s the insurance process been like for those of you who have tried to get this surgery covered? Any insights would be super helpful!

i've been pursuing bttm surgery for a yr now and i've been very adamant about getting it. idk why but lately i've been having the feeling that i need to slow down a bit... i'm not sure why that is because i've been so confident in what i want and how i feel... has anyone else gone through this???

does anyone wear a packer with compression underwear or gaff? would like to know brands you use/what you do!

My fiancee (22F) and i (24FtM) both want a vagina-perserving phallo sugery. the question: will they let a cis woman get this surgery?

So. I am biologically female. I know pretty much nothing about surgeries and their terms so if you could put it into simple terms, I would really appreciate it.

I identify as non-binary/femboy(-ish), but I still enjoy the feeling of my feminine "parts".

I'm wondering if anyone can tell me if there's a surgery to keep that but also give me a penis without Testosterone. I wanna keep my feminine figure.

I just wanna feel comfortable in my body so I'm really hoping someone could answer this for me. Thank you<3

Is there a name for this procedure? I've read a few threads but didn't see the specific name.

Hello! I am a trans man (he/him) who underwent meta with ul and scrotoplasty without vnectomy. I have been dealing with some real serious ball chafing/chafing in my perineum due to my continued wetness.

Anyone have any remedies for this that they've found?

I am ftm and have had some bottom growth, but i really would love to increase the WIDTH of my bottom growth. I really love the way micropenises look. The very large, squat head with basically no other penile tissue is what I’d ideally want. I like what I have too, but the head is not really wide. Is there any way to increase this with surgery? what could i ask for specifically? I am planning on meta, at the very least for mons reduction and testicular implants+ general reshaping, but would love if this could be achieved in the process as well. It’s not important that i pee through it so that is not an issue.

I'm not sure how it would be to actually have both and if I might not be trans because I freak out everytime I think about it and either way I won't keep most of family😐 and yea IDC about that part but idk how to feel and also idk if my country would pay for it (IK it wpuld for the case that I'm trans and want boobies and a vivi). I'm just so u sure about everything in life and I overthink without thinking (idk how else to describe it) can anyone relate?

Hi y'all, I personally don't ID as salmacian but saw this sub and figured I'd share my relevant experience. I'm trans masc and use they/them or he/him.

I've had the first two stages of what will eventually be at least four total surgeries. I had RFF (radial forearm flap) phallo with nerve hookup, urethral lengthening, and no vnectomy in stage one, followed by glansplasty and a fistula and stricture repair about six months later in stage 2. Next up this spring should be scrotoplasty, followed by implants (testicle and inflatable erectile device). My surgeons are Dr Chen and Dr Watt, and during recovery from stage two I stayed at Quest House. I have a previous AMA post on my profile from after my first stage with some more info as well.

My end goal is to have a more penisy-penis but keep the coochie. (I'm a bottom verse, and everything in the region participating in the bedroom is important to me.)

Did y'all deal with multiple fistulas? Did they resolve with or without intervention?

Did you end up having to dilate to retain the ability to be penetrated? Do you still have to take less size than you used to?

(I can't take as much as I used to and I'm not even post op lol. Estradiol tablets are all that is saving my ability to take ANYTHING)

I'm having a bit of an existential crisis on what kind of chaser I am. ThoughT maybe some hateful comments might help me gain some clarity lol

I'm attracted to women and femininity in general. Expanding on that, it's never mattered to me if the personal i find attractive is cis, trans-femme, intersex, NB, etc. From this I've grown to appreciate vagina and penis both, so long as it's part of a feminine person.

Sure the idea of an attractive person with both sounded like a dream come true, but from my limited knowledge of intersex biology I determined that to be unlikely.

But now? I've suddenly discovered Salmacian is a thing and I'm all confused. It was hard enough being a woman chaser and trans chaser, but now I have an entire other group I'm suddenly incline to chase?! It's just so much to take in...

Plus, now it occurs to me that I could maybe have both a phallus and a vagina too, and the possibilities seem endless. I mean, I've got no attachment to my testicle, so if I could trade them for a vagina, while keeping my penis in place of a clitoris, that would just be awesome lol.

Anyways, that's it, just felt compelled to share my mental journey. Feel free to give me your worst, I know I'm terrible.

Hi I’m a trans woman but I want the genitals of a trans man, is something like that doable?

I (nonbinary M, 52) am very interested in having a specific kind of surgery where most of my external penis is removed and just the head is retained as a neo clitoris just above the new urethral opening (no reroute) and no vaginoplasty. I've read it is possible by retaining blood and nerve connection to the glans but there is risk of the neo clitoris losing sensation or dying. I saw one person online who had this done but cannot find the images again. Has anyone here had this done, know of it being done, or have the same interest?

Hi! Just found you guys. I didn't realise there was a word for wanting multiple genitals. But I feel I'm perhaps an outlier here; I'm happy as a feminine cis woman, I'm not interested in HRT or pursuing surgical options to get a dick, for many reasons. I would, however, love to hear if there's anything more within reach that has sparked joy for you.

As for myself, I got a lot of joy out of making my own strap-on harness. I wasn't happy with the options I could find for sale, so I did it myself. It's pink and matches my two glittery pink dicks ✨

I've also been searching for the perfect ejaculating strap-on compatible dildo on and off for a while. I think I need to stop trying to find the dick and accept that I'll need to get more than one, but I haven't bit the bullet yet, because they're pricey.

I haven't tried packing, because I don't feel like my desire to have a dick has anything to do with how I want to be perceived when I'm dressed. But idk, maybe it could do something for me. I kinda wanna make one of the mushroom styled ones, but I think I'm just a slut for cottagecore crafts, and I like the idea of having a secret mushroom bulge. But that's probably unrelated to my desire to have a dick.