poor depth (≈4in/10cm) and poor aesthetics </3. i really want a revision.
being able to behave normally around my friends is amazing but the only way id let someone actually look at it is in the dark and that sucks

6 month update to my SRS recovery. I had the new method in April 2026.

I'm not thrilled with my aesthetics. Sensation is just okay, and my clit is very close to my urethra, making access during partnered sex difficult.

I am having a revision with Dr. Pang in Decmber 2026.

Im 2 years post op. I went to Dr Brandt in reading PA and im thinking i might get a revision or just a labiaplasty but im not sure , my clit isnt really that sensitive either. During sex i experience pleasure but never gotten to an orgasm and same with masturbation. I dont really know what to do about not being able to orgasm so far, i thought maybe with time it would get better but it seems ive reached a stand still. Im happy about the surgery but i feel aesthetically it could look better in some pictures i feel good other angles i do not and i feel like my labia is loose. and function wise i just really dont experience that much pleasure. Ive seen some pretty good results on here and its hard not to compare. Any advice/thoughts?

Pretty much the title haha, first 4 pics are a rough idea of what I wanna achieve and the last 1 is my body when I was 65kg (I've gained a little weight to prepare for fat harvesting but overall about the same, legs jst look a little skinner cuz I don't gain there unforch :/)

is this kind of result/shape achieveable with lipo + fat grafting to the hips and thighs? I'm really worried about it looking unnatural and overly filled (kinda like 2016 kardashian era BBLs) from trying to force lateral width on the hips

Just did my first session of the day, 3 more to go🥹 unfortunately I wasn’t able to reach full depth, I think there is stool on the other side making it hard to pass the dilator

I’m sorry for the blood and gore! I wanted to share my journey as of now, things are pretty inflamed, I have noticeable bleeding, walking and standing up is difficult… just gotta keep at it and allow myself time to heal

Can’t believe I have a pussy lol, I didn’t imagine it would be this demanding mentally

I have had an very interesting week. Gonna be pretty graphic in describing the week.
Pain was pretty manageable at the hospital but when I discharged I didn't have the best bed at my rental so I had to frequently get up to relieve pressure from the packing and urine. Most pain was really from the packing and catheter.
I'm going to really state how important ice packs were because I woke up often in bladder pressure sweats.
If you can be kinda tilted or remember to get up often from bed to for the first week, no matter how uncomfortable.

When I had the packing taken out it was stuck a weird feeling. Like a tickling down the throat but in a vaginally canal.
Now having the catheter taken out was absolutely bliss. Peeing afterwards shucked tho was dripping all over and spraying lol.
I'm Soo much more mobile after catheter and packing removal it's insane.

Hi everyone! What do you think could be improved with a revision?

My health insurance has already approved and agreed to cover a second surgery, although I'm not obligated to go through with it.

Thanks in advance!

Here's some updated pictures. 2 months out from my surgery. I am so happy with the way that everything turned out

I got SRS 6 days ago and I am constantly feeling jolts, zaps, and something akin to that vertigo feeling you get on your stomach? Except that I’m getting it in my vagina. They don’t particularly hurt, but they catch me off guard and make me flinch a little

Is this supposed to be a good thing?? Nerves reconnecting and stuff?

Hello, I think I've got a rough idea of what I want done, but I'd like some second opinions. Let me know what procedures would do most and least. No need to mention rhinoplasty, since im getting it anyway for deviated septum.

How satisfied?

Heyy I’m 3 weeks post op does anyone have some tips on getting rid of a smell in vagina ?

I'm in a red-state with an insurance policy that explicitly does not cover FFS (no possibility of LOA either). I am planning on paying out of pocket. I started saving up the month before I even started HRT 6 years ago knowing that I would want FFS. I will be putting a deposit down soon for a well-known surgeon. Most posts I see these days are people picking surgeons based on their insurance. Who would you go to if you were in my situation? I can only do this once really since this will blow away 6 years of work, so I want to get this right the first time.

i feel a need and desire to continue this journal. today is actually the most mentally sound I have been my entire recovery. I was operating on a delusion that I could only be positive, and that has made this small negative 10 times more devastating - ignoring the insane shifts in my social circle I've had to do 😖 but as a practicing somatic health care worker..... how could I lose sight of the balance needed in somatics. there have been excruciating mistakes I've made in these past (almost) 3 weeks. but like I've been saying... it's day to day, minute to minute. so while i recalibrate, my body must rest, and my mind has to slow down as well. Bipolar is an intensely difficult mental landscape to be introducing something as... intense... as vaginoplasty to, so hunny.... I did not prepare myself for the storm. the clouds have passed and the sun is shining again, now I just have to mend where I can, and keep on keepin on. sending love and well wishes always.

I have a consult with Dr Rolfes but it’s two and a half years out. And I am on the waiting list for Dr. Bonapace-Potvin, but I’m wondering if there’s any good surgeons near that might have a shorter waitlist since I’d rather not have to wait like 3 years to get FFS.

I’m guessing it’s possible to try to get insurance to cover an out of state surgeon? I know insurance in Minnesota has to cover it but not sure about state lines

i have been pondering on the surgeon to choose for my srs and im quite convinced on Prae instead of bank for shorter wait times, but there aren't results to look at anywhere that go past the first few weeks, so idk where to check to have a better idea and reassure myself🥲

On July the 8th this year I decided to get an orchiectomy. Although I’m American, I work in Japan and I’ve been here for several years, but due to a life circumstances, I was going to have to return to the states.

This really terrified me, and I wanted to make sure, whatever the future, I couldn’t be detransitioned by whatever dysfunctional theocratic government is running the country. So I started looking into bottom surgery and orchiectomy locally in Japan. There’s only about one doctor that I could get in at here, which was Dr. Saegusa at the TG clinic in Ebisu. At the time I thought I could be back in the states within a month and I needed the surgery before that. Dr. Seigusa didn’t have any openings for anything less than 45 days out and was charging about 3,000 dollars.

Also, many of the doctors here in Japan are very old-school, their techniques as old too (which isn’t bad, they certainly worked in the past) but trees kind of surgeries have changed rapidly in even the last few decades. I started talking to Dr. Shin Ikebukuro for recommendations. Dr. Shin runs personal health clinic in Yokohama and Ueno, and also moonlights in several other places treating transgender patients. He recommended his friend, Dr. Kim, who works out of Sacred Heart memorial hospital.

I reached out to their organization, and her husband, Justin, reached out for interview. I told him my timeline, he spoke with Doctor Kim, and she scheduled me for the morning where she had an opening about two weeks later. The charge was only 2500USD for an orchie. Justin took care of everything for me, even drove me to my appointments. The first day in Korea, he had forgot to mention that the outlets were different here than in Japan, and so he brought me to his house, I met Dr. Kim who was really so nice. She even introduced me to her cats and gave me a Korean charger/power bank so I could charge my phone. It was such a friendly vibe.

I met with Dr. Kim several times when I was there. Since she knew I wanted bottom surgery as well, she gave me a consult while I was there. She actually is the head of her own gender care unit at the sacred heart hospital, and had nearly all the restrooms there converted into gender neutral. It was a really welcoming place. She discussed her techniques and showed me examples of her bottom surgery work, and I have to say her attention to detail was amazing. I really like her work on the anterior forchette forchette, which I feel western surgeons don’t seem to care about, so the bottom of the vagina just sort of gaps open. She also said she hides the scars between the folds of the labia, which was interesting. Also, unlike most American doctors, she requires you stay in the hospital during the first week or more until the swelling is controlled, and you’ll be connected to some kind of vacuum machine to keep the swelling down (I don’t remember what it’s called)

She mentioned a lot of revisions occur because of wound separation from swelling, so that’s critical to her end result.

She also discussed assessing my available skin and recommended penile inversion initially, as she said of there are complications, we can take additional grafts using peritoneal tissue, and if there are further complications, as a last resort use jejunum. She explained that if you start with jejunum, and dilation doesn’t work, or there’s other issues, there’s simply not many other good places to graft from.

One of the things that wasn’t great was that the rest of the hospital outside of the gender unit is very gendered. Unfortunately at this time my passport was not updated, so although I was in a gender neutral ward, the name on the door was my dead name’s initials with my birth sex next to it. Dr. Kim says she’s been working to get this fixed, but since it’s a shared ward, it’s been a battle with the rest of the hospital for her. But she made sure everyone I interacted with used my actual name. And the nurses were great on the ward.

The next day or so I checked into the hospital room. I couldn’t eat/drink for 12 hours before bed, and in the morning they wheeled me to the OR. I was out with an hour or two. It was extremely fast, felt like I just fell asleep for a second. I was given a radical orchiectomy, where the cords were cut somewhere in my abdomen or inguinal canal. The suture job was amazing. It’s been several months but even right after surgery I couldn’t really see where she had cut, besti can tell she cut right on the perineal raphe, and I had to feel to find where the sutures were. It was a really clean job.

Justin picked me up about six hours later, by then I was walking. He took care of checking me out of the hospital and told me to have a seat. insisted on walking because I thought I was fine. Nearly passed out in the lobby. Just before I was about to black out I said something like “I think I’m going to pass out…” and Justin literally caught me and helped me walk to a seat. By this time we were pretty good friends. I guess I was a bit nonchalant about the way I said I was going to pass out, and said it with about the urgency in which someone might say they are grabbing a coffee.

After fanning me back to life and giving me water, we walked to the car feeling much better. Dr. Kim met me in the parking lot and hugged me and asked me how I felt, told her husband to take care of me in a kind of motherly way, she’s incredibly sweet, and Justin drove me back to the hotel. There was some discussion later on about how she had evaluated my available skin for bottom surgery and said I’d do fine, and I talked with Justin about coming back in a year, prices for bottom surgery was about 21K USD, and since my US insurance no longer covered anything thanks to Trump, that’s about as good as it gets.

Anyway, I had a great experience. my only complaint is the food in Korean hospitals was too spicy for me. I’ll probably ask for a meal modification next time. As for the surgery, there’s was some initial swelling and it was sore for about a month, but nothing that prevented me from getting around (except the first week or so, felt like i needed to take a lot of breaks, almost like fatigue as my body healed). I had to take it easy for about three months for lifting things. At at this point, almost 4 months later, I’m complete healed. I have no scars that I can see, and I really can’t wait to do bottom surgery with her next year.

Anyway that’s about it. I’m open to any questions. Justin, if you’re reading this, you have to go to the drag show down the street from my hotel in Itaewon with me when I come to get my kitty next year 😭

And for those wondering, there’s a nice gayborhood, red light distract and club district in Itaewon where the hotel was recommended by Justin. Fun place, so after hours we’re also very lit, wish I had spent more time there, but I had to get back to work.

Hello all,

I have been offered a consultation with QQ (French FFS) but the consultation is not for 7 months, which would make it close to a year between by first enquiry and actually speaking to a single person. I have tried to ask them about wait times but they are being extremely evasive, so I figured I would try here.

If you have experience with French FFS, how was it? How long was the waiting time between consultation and surgery?

I am 30 years old, I live in the UK for context.

Thank you!

In the beginning of the year I had an orchiectomy with two incisions on each side of the scrotum. I had a massive haematoma after and I spent the next few months dealing with the aftermath. Coagulated blood, infection, the wound of the right incision that would not heal properly and a mild skin infection on the skin after the wound had finally closed. Then, a few months after the wound had closed and the coagulated blood had dissolved, I found out that the spermatic chord had fused to the wound in the right side.

Before the surgery, I had one final talk with the surgeon. It was a different one than the one the one that was originally meant to do the surgery. He said that he would make two incision instead of one in the middle, to reduce scarring, in case that I wanted further surgery in the future.

I would really like to have SRS one day and this is why I'm so worried about this. The scaring on the right side of the scrotum is still rather minimal, though I can't help but worry about complications in the future if I ever pursue SRS.

This is why I have made this post. This surgery was done in the public healthcare system in Denmark. I have since moved to a different part of the country and when I got referred to a clinic that could help me get this sorted out, they said that they don't do incisions on the scrotum and would need some time to discuss how to resolve it. It genuinely felt as if they didn't know how to handle this. I wish that I had gotten this done privately or at a different hospital. I know that the rate of complications of orchiectomies are very low, but I still wish that I had been more careful and sceptical.

I am considering going to a clinic in Europe that does SRS and getting a consultation and evaluation from them. Do you have any advice for me regarding this, or the just about this in general?

I’m about a year into transition, and my partner (F) and I’s (TF) sex life pretty much died shortly into my transition. My sex drive changed from being horny 24/7 to never. The passion has been replaced with laughter, whenever we try to initiate, we end up both in stitches laughing and can’t even seriously makeout. It’s funny but makes it hard to proceed. 😭

We don’t even really have sex unless I initiate, and with no drive it’s never on my mind. Orgasms in general are dull and lifeless now, masturbating old style gets me 1% of an old orgasm, while vibrators are maybe at most 4% of what I felt pre-transition.

Starting progesterone soon. Hoping this could improve my drive, not sure if it affects orgasm quality? Any thoughts or advice would be appreciated!

I looking for a Surgeon close to or on Arkansas that does Ribx/lipo with fat graft for breast augmentation. Does anyone it there have any recs? Wouldn't be opposed to bbl either lol

So I have some questions about ffs recovery. So I got my surgery date in February. Jumaily‘s office told me that I have to get a care taker for my recovery, and that’s it’s mandatory or they will cancel my surgery.

They gave me two choices I can go with the nurse who charges 50$ a hour which isn’t too bad I suppose, or I can go with Aura aftercare which is 2000$ a night. The nurse seems like the most logical choice. My question is how long would you need a nurse to care for you after ffs?

What would be ideal to bring me with me? I know I should bring liquid food like smoothies to eat. I’ll be staying there for 10 days. How do I stop being so scared about being put to sleep.

Hii everyone,

I'm currently in a bit of a difficult situation regarding my decision on full on SRS with vulvo & vaginoplasty and just vulvoplasty. This is specifically about possibly obtaining vulvoplasty through minimal depth SRS and then going with a method like the peritoneal approach for the creation of the vagina in a separate surgery later on.

The issue I'm having is considerable dysphoria regarding my bottom parts and generally speaking, I feel like I would want both vulvo- & vaginoplasty, however, from the looks of it, I may need to cover the cost myself and I will not be able to afford both at the same time for a few years. That's why I thought about splitting it up into these two steps to obtain vulvoplasty first to reduce my dysphoria related to the presence of my current genitalia and if necessary, pursue vaginoplasty later on if I deem it necessary for sexual purposes (even if that may mean vaginoplasty would move even futher down the line). My priority is kinda to for one, get my testicles removed (orchiectomy is not an option) and secondly, to at the very least have a vulva in a timely manner. Recovery is also a consideration, as I may need to opt for zero/minimal depth due to my professional situation, which makes dilation a lot harder to do consistently (changing jobs isn't an option rn either).

Now my question would be primarily for those, who also considered this/did this (or if you just want to chime in on it, because you might know a thing): Is this a realistic approach to go about SRS and do you feel happier even if you first thought about absolutely needing a vagina from the get-go? What issues are to be expected/did you experience? Would you choose this path again if you were in a similar situation once more?

So, I was washing my dilator after using it and accidentally dropped it into my dirty sink. It was only in there for less than a second. And I washed it 3 times with 3 different antibacterial soaps and then once with dawn power wash. I was wondering if it was safe to still use it? Sorry this might sound weird but I have a thing about germs. Which I know doesn’t make sense if my sink is dirty. I just don’t like that I dropped it. If this was something dishwasher safe I would do what I already did and then throw it in the dishwasher. Then clean it again multiple times.

I have a consult coming up in November for FFS, but I was wondering if anyone had any insights into how quickly after consult she's able to schedule?