Hi, I am having my breast augmentation done soon and am struggling to pick the size. I am 5ft 9, 62kg and a 32a.

The surgeon suggested 380cc round demi motiva + fat grafting based on me saying I want a natural result. However, looking at the simulation pictures I am scared this is too small.

I am leaning more towards 475/525cc but scared this may not look natural with my largish rib cage and little existing breast tissue, would love to hear if anyone else with similar stats had any thoughts.

Hi! I'm in the process of consulting for a vaginoplasty, the problem is that I am able to consult and get the surgery with Dr. Ramineni this year, but would have to wait until 2026 to go with Del Corral since my consultation is in August. Does anybody have any advice on if it's worth waiting a year to go with Del Corral over Ramineni?

Hi! 19f here looking for any good orchi surgeons in preferably North California or just cali in general. I have insurance (bcbs) but Im pretty sure California banned insurance from covering >21 castration surgeries.

I'm willing to pay out of pocket. I just have no idea when it comes to which surgeons here are okay. I originally planned to get srs but seeing the state of things I don't think I can afford to risk the wait for suporn/chettawut.

I know that an orchi can complicate future srs but I'm sure with some techniques it'll be fine like PPV and colon right? Thanks for ur time!

I'm currently waiting on approval for BA. I have Aetna insurance. Everything has been submitted to them. Anybody have any idea how long it usually takes for them to respond back whether it'll be covered or not

Thanks 😊

To start off, I don’t have the worst bottom dysphoria out there but I also feel like SRS would be something that I would love to have. I really like the idea of being able to wear certain clothes without tucking or have spontaneous sex, but honestly, I am scared of the potential outcome. I’ve seen some really great results but I’ve also seen some that don’t look good at all and/or have complications that lead to multiple revisions. I am currently in a relationship with a cis guy going on 3 years and he’s told me multiple times that he would support me on whatever decision I make but I still can’t bring myself to do it. What I want to ask is, what made you pull the trigger on your SRS if bottom dysphoria wasn’t a huge concern for you? Have I just seen too many doom posts?

I’m 7 weeks out from surgery and I’m starting to have multiple orgasms and it feels good when it happens and it’s a lot different from before I had my surgery to now I now know how my GF’s felt when they had them and it’s a lot better now and I feel more complete as a woman please let me know if this is how most of you feel and if I need to be doing anything different I’m looking at going back and and getting the rest of it done I just have the outside done

I’ll be posting monthly updates to my journey here. My surgery date is mid November, with Crane Center.

I’ll answer any questions about the process (letters acquisition et al) that I can. This won’t quite be an AMA-style post, but I’ll probably do one post-op if people are interested.

I’ll post edits in my main comment with questions people have asked as they come in, so please be patient.

I'm really curious how many people have a problem with their vagina and need revision? For me it was so hard, the first time I had a wound near the opening of the vagina and after it healed I had a scar inside the vagina and I couldn't dilate, for a long time, even with my pelvic floor physiotherapist it was a nightmare I had so much blood and crazy pain when I would go in with my dilator, even with gloved hands it was so hard. Now I need revision to open my vagina and I also want to fix the aesthetic problems with how it looks. Are there people who have the same story as me or even worse? And how common is it?

how do i even get started with this i dont have a therapist or anything

us

I wanted to see if anyone had any reccomendations for surgeons for Vaginoplaty. Im posting in hopes to find a surgeon other than Bluebond for my best friend who would like to have it relatively soon. She's scheduled to see bluebond but it's years away and it causes such intense dysphoria, I figure reddit might have alternative doctors in the nyc area that have earlier availability without sacrificing the quality of Doctor!

I'm 6 weeks post penile inversion vaginoplasty and sick of carrying the cushion everywhere. To those who have had a vaginoplasty, when could you first go without the donut?

Hi,

I am transgender woman looking to expedite my GCS surgery. I have been living fulltime as a female for 30 months now and have been on HRT for over 6 years. I will be turning 65 in about 6 months in June of 2025 and with a change of insurance may no longer have GCS, in particular vaginoplasty, covered with my change in insurance and the requirement to start Medicare with BCBS supplemental insurance. Also it appears some surgeons do not take Medicare patients so I am considering what surgeons I can work with now. I know it might be too late to get scheduled for surgery in the short time frame. I would like feedback on Dr Praful Ramineni in the Washington, DC area concerning GCS and vaginoplasty in particular. One concern is my penis and genitals in general have shrunk while on HRT. I don't feel I was never 'well endowed' but now even less so to where my penis appears to now have a foreskin (I was circumcised at birth). Any help and comments on Dr. Ramineni's work would be greatly appreciated. More information about Dr. Ramineni including a gallery of his work can be found here. https://www.districtplasticsurgery.com/procedure/vaginoplasty/ Thank you in advance.

A lot of surgeons say they do PIV or PPT, but there’s all these other types. How do I find out if a surgeon will do a certain procedure before waiting almost two years for the consult? Like I don’t want to finally get to the consult and have them be like “oh. I don’t do Jejunum graft vaginoplasty.” Thx

hey so i'm pretty sure i'm getting ffs next year and i wouldn't mind a jaw shave.. im curious if surgeons do like a mini face lifting thing after or during the procedure bc i presume it's not unlikely for a patient to have extra skin on that area after shaving the bone down?

I know I want to get most of the FFS surgeries but one I keep coming back to is my nose. I wouldn't say I like or dislike my nose, it's fine. But something I keep thinking about is, can a nose be femme or masc? Like noses are just noses right, they aren't changed differently for cis men/women during puberty (that I can tell)? So is it more of just an aesthetic choice not related to feminisation. If so I think I will lean towards not getting any nose surgery; but if it actually is feminising then I need to consider it more. Grateful for any thoughts.

Hello I’m a trans woman who has been on HRT for almost 3 years now, and I’ve been wanting to get a few surgeries. (Specifically to shave my Adam’s apple, breast augmentation, SRS, and maybe vocal feminization) but I have no clue how to get started with surgeries. Like who do I talk to, who do I tell, how do I find a doctor that will do the surgeries I want, how do I know they’ll be good at it and not scam me, it seems like everyone on here just gets them all done whenever they want but I hear it’s not that simple. But I don’t know what to do can anyone help me please

I plan to do a few of these because when I was researching I couldn't find a lot of posts about minimum depth vaginoplasty (aka Vulvoplasty)

I'm not gonna post any photos yet because it's all still very swollen, I'm still recovering in the hospital.

My surgeons were Dr Douglas and Dr Hamidian. I got on the waiting list for this surgery in March of 2022. So from joining the wait list to the actual surgery was a few months shy of 2 years.

I've been very happy with the process so far besides the very long wait. That makes sense though with this being such a good program. You can tell they really took the time to put together a quality team.

The recovery team has been great. They are understaffed, but that's normal in healthcare right now.

Can't think of anything else ATM but feel free to ask questions.

Super niche question here about having an IBD, in my case Crohn's Disease, and getting gender affirming surgery.

So I'm MtF (starting HRT in a month or so), and I'm trying to get all of my ducks in a row. I have Crohn's disease of the lower bowels and it is well under control with medication. I consulted with my gastroenterologist yesterday who said that they couldn't see where my case would have any complications with HRT and such. The question comes from a specific health complication.

Early in my diagnosis my insurance dragged their feet forever and I wound up developing an anal fistula due to my Crohn's(thanks UHG!). l've had it for 3 years now.

Because of where it is located in conjunction with my IBD, it will never fully heal and I'll have a seton in it for the rest of my life.

My gastroenterologist brought to my attention that this will almost certainly cause issues with getting a full vaginoplasty, though a vulvoplasty would likely be fine.

Has anybody here dealt with navigating gender affirming surgeries like this while having a fistula/IBD, l'd just like to know what sorts of things I should expect to encounter, as l've been unable to find almost any resources on this. I’ll be consulting with my own surgeons and specialists but I’d like to know if anybody has dealt with this before!

Thank you so much!

In short, I'm looking to get FFS in May. I want to keep my MLOA as little as possible over the course of the year, and I was wondering, how long after FFS could I get my excision? I know it's not likely a great idea, but is it the type of thing where I could get my FFS, and maybe after like a week or two get my excision, essentially taking one slightly longer MLOA instead of two within a few months?

I know it's not likely, but is there anything along those lines that I could do?

like how long did it take yall for major swelling and bruising to go away? when did u become presentable?

I had a vulvoplasty four days ago and I am home now, but am having trouble managing the pain with ibuprofen, Tylenol, and oxycotin. Yesterday I was a bit better, and managed to shower and walk a lot. Today, I have so much pain I can't walk that much, or get out of bed that much. It is mostly an intense, but dull pain in the perineum area. I would love to know if this is within the realm of normal or similar to others' experiences? Today is just downright tough. :(

Thanks in advance for you kind words and any advice!