this post was submitted on 10 Jun 2025
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Here are some basic facts:

  • method was penile inversion
  • I opted for full-depth rather than a vulvoplasty
  • surgery took 3 hours, though recovery took another hour
  • I went under general anaesthesia and had to be intubated and put on a ventilator
  • I'm currently admitted in the hospital and bed bound, discharge is scheduled for Friday
  • so far pain is between 1 and 3 for me, most of the time it's between a 0 and 1.

Ask me anything!

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[–] dandelion@lemmy.blahaj.zone 7 points 2 days ago (1 children)

How long was the waitlist, or the time between your consultation and the scheduled surgery date?

That's a good question - I started HRT in December 2023, and I couldn't have any surgeries until 1 year later (Dec. 2024). I knew I wanted an orchi, so during my first year of HRT I got a letter from a therapist for surgery, and then called up the hospital and scheduled a consultation, which happened probably sometime in the summer or fall of 2024 (sorry, details are a little fuzzy here).

Then I had the orchi scheduled with them for December and I started laser hair removal on the genital region a couple months before the orchi as I started to think a vaginoplasty would be a good idea.

Electrolysis for hair removal started ASAP after the orchi, so that was early February.

So overall the wait was like 6ish months since if I hadn't been so dismissive of my bottom dysphoria and taken vaginoplasty more seriously, I might have done hair removal my whole first year of HRT and then had the vaginoplasty ASAP in December 2024 rather than waiting for June 2025.

Either way, I consider this a pretty short timeline, though I really wish I could have had my orchi when I started HRT in 2023, that insurance requirement to wait a year is blatant transphobia.

Which PIV method did you get? I was looking at a specific method in the northeast and am trying to get an orchi ASAP with a request to preserve some tissue for a specific method, and am wondering if this is the same method. This seems like a VERY short time in the OR.

Honestly I have no idea - I tend to think about getting the best surgeon and then getting whatever method they are best at. Since this surgeon is best at PIV that's what I went with. I wish I had more details about it, because I've never heard of a full-depth vaginoplasty being done in 2 - 3 hours, that's just insane.

Did you discuss personal priorities with your doctor? I have in mind the juxtaposition of sensation vs function vs aesthetics.

In visits before the operation I did ask the PA and nurses about what to expect in terms of sensation, function, etc. I didn't give a lot of input on aesthetics, but that's partially because I've seen his work before and it matches what I would like.

Last one: how big was your grin when you woke up and realized everything was the way it should be?

Leading up to the surgery was so nervous I was making a mistake and scared that it would look awful and I would immediately feel regret. Once I was in my own room and could look at it more closely, despite being the first day I felt this immense relief - like I had just shed a mountain of burden. I was shocked to find that I was so extremely happy with the results, and that led to some happy sobbing.

I've had intrusive thoughts about cutting off my penis since I was a teenager, and my scrotum has always seemed extremely gross to me - I just coped by not taking those feelings seriously, and so in a real way I didn't understand my own bottom dysphoria or how severe it was. Right now at least I just feel so much relief and happiness - and I can't explain why, it just is that way despite not expecting it to be like this at all.

[–] ncc21166@lemmy.blahaj.zone 4 points 2 days ago (1 children)

Either way, I consider this a pretty short timeline, though I really wish I could have had my orchi when I started HRT in 2023, that insurance requirement to wait a year is blatant transphobia.

That is a short timeline! I'm happy that you were able to move this fast!

In visits before the operation I did ask the PA and nurses about what to expect in terms of sensation, function, etc.

This has always been a thing that worries me. I'm mostly concerned with functionality, though obviously we would all like like have all 3 be perfect. I'm glad you were able to find the procedure you were hoping for!

I was shocked to find that I was so extremely happy with the results, and that led to some happy sobbing.

Joy really is the end goal, isn't it?

[–] dandelion@lemmy.blahaj.zone 4 points 2 days ago

This surgeon seems pretty decent on all three measures, aesthetic seems ideal as well as function and sensitivity.

Here are some photos of the surgeon's work:

NSFW

3 month post-op:

different person, 1 year post-op (this one is shallow-depth / vulvoplasty):

same vulvoplasty person but 6 months post-op:

a different person 4 days post-op:

and yeah, joy is the end-goal I guess, for me it's more like harm reduction driving things than joy, but I'm happily surprised when the joy comes anyway, lol

I have a hard time connecting with my feelings around dysphoria, I've coped really well and part of the way I cope is by dismissing and ignoring my feelings around gender.