Local Null NB

In late 2024 I got nullification surgery, here to share my journey and answer any questions! DMs and asks encouraged!

[local-null-nb]

Hey peeps! I'm Zero / Null / ∅ or anything in that realm! I'm 24 years old, and roughly one year ago I got Nullification surgery and it was super awesome!!!

This blog is specifically about my experience with Nullification surgery and general information regarding it!

Feel free to send me asks or DMs, anons accepted! Giving information even marginally related to Nullification surgery is what I made this blog for! Happy to answer any personal question short of "what's your social security number"

Basics of Nullification surgery:

It's an elective bottom surgery, most common for nonbinary peeps (but anyone can get it regardless of gender identity and what bottom anatomy you start with!)

It results in a smooth genital area, with just a small hole for urinating

You can choose to either remove the sensitive nerves in the area or keep them under your skin

It has an easier recovery than more common bottom surgeries

For a bunch of my favorite pros of it check out my "daily reason" tag from when I was posting daily reasons why I liked it.

Photos of the surgical results after 6 months

Here are my photos after ~half a year of recovery! They are arguably NSFW especially the ones with "hole" in the title. It features both ho

Do you want further information? Questions about any of these points? Feel free to send me an ask or a DM!

I'm trying to get the word out so feel free to reblog!

[local-null-nb]

Happy Pride!

Once again putting myself out here as a resource for any trans folks looking for bottom surgery that leaves you with NOTHINg!

[local-null-nb]

Happy Pride!

Once again putting myself out here as a resource for any trans folks looking for bottom surgery that leaves you with NOTHINg!

[local-null-nb]

Did you do nerve preserving nullification or manage to convince a doc to do non nerve preserving, it's really hard to convince them to do that.

My surgeon was fine with me getting non-nerve-preserving nullification surgery, but my mom will end up pressuring me into keeping the nerves, which I personally regret.

Do not give in - emphasize that you do not enjoy the types of sensations that it gets. Tell them that you appreciate their professional expertise, but in matters of preference, you know what you want.

If they try to get you to keep them under the point that you can always get a second surgery to get it removed ksk them if they would cover your travel and cost of getting a second surgery - or at least point out that those would be major inconveniences and additional medical risk.

Just remember that this is not typical of all surgeons. My surgeon, Dr. Praful Ramaneni, was great and informed me of my options, but did not pressure me towards one or another.

[local-null-nb]

I have officially removed my bodies ability to produce certain chemicals which were necessary, but increased risk of many types of disease and replaced it with an external attachment releasing chemicals into my body to keep me healthy with dramatically lower health risks!!

(Nullification surgery stopped my body from being able to produce testosterone and now I have an estrogen patch!)

[local-null-nb]

not sure if this has been asked before, but does nullification typically have any effect on libido?

(cause like. if i could fuckin yeet mine thatd be the dream)

kinda! decrease in hormones often leads to lowered libido - nullification surgery typically involves removing testicles or requires a hysterectomy, with testicles removal or hysterectomy with ovary removal your body stops producing testosterone or estrogen in significant quantities. You will actually need to take hormones afterwards to prevent osteoporosis and menopause like symptoms, but a lower dose will generally result in much lower libido! I can personally attest that my libido is all but gone at this point with me with my now low hormone levels!

It is definitely worth noting that nullification surgery isn't necessary to get these results - testosterone blockers, SSRI anti-depressants, and other medications can all have libido lowering effects - it's definitely something to talk to a doctor about! Nullification surgery does definitely work well with it though, since you don't need to worry about counteracting the present hormones, just not adding too much external ones! It took me about 1 month or so for my libido to basically hit 0 after a gradual decrease. It also helped that with the surgical site healing I couldn't really react to any libido, breaking any habit.

[local-null-nb]

I'm not sure if this is a dumb question but does nullification include top surgery to achieve a flat chest?

Not a dumb question! Nullification surgery refers specifically to bottom surgery, though I found that most people seeking nullification surgery also wish for top surgery to make them flat under a similar desire for smoothness.

Since bottom surgery and top surgery are on different parts of the body trying to recover from both at the same time it puts a lot of strain on the body so they are typically done as two separate surgeries.

If you have any other questions, please send them my way! I'm happy to help any way I can!

[local-null-nb]

Would it be correct to say that the main obstacle is that not many surgeons offer the surgery? It doesn't seem very difficult (which I suppose makes sense since you're not constructing any genitalia), the recovery seems easier than more typical bottom surgery and yours was surprisingly cheap.

I mean the main obstacle for me was getting my insurance to cover it. There are more surgeons offering it every year because as you note, it is just easier bottom surgery.

To find a good surgeon who has lots of experience in nullification specifically, you will have to cross state lines in the US or go to Spain.

I have heard tale of asking surgeons who don't explicitly offer it but do offer bottom surgery to do it and it working out. Essentially, they just do the phalectomy or vaginectomy and don't do the corresponding vaginoplasty or phalloplasty.

I'd definitely recommend going for a surgeon who has more experience with the exact procedure, but ultimately surgeons who offer more typical bottom surgery can do it.

[local-null-nb]

Had a nightmare that I had a dick last night.

I can't put into words how glad I am that now that is just a nightmare and I get to wake up and that's not the reality.

Gender affirming surgery saves lives.

It is just such a relief to have literally nothing going on down there. Nullification surgery fucking rules.

[local-null-nb]

One benefit of nullification surgery I didn't expect was that it really cuts down on confusion as to my gender.

Like, occasionally I basically just wake up and don't remember that nonbinary exists and I spend a good few hours confused as to if I'm transgender or not and then eventually I come to the conclusion that I gotta be something in between male and female and then a few hours later I realize.

Nullification surgery has definitely cut down on this confused time though, as now, whenever I go to the bathroom, I'm like, "Oh, right! I don't have any genitals because I'm not binary!"

[tgirl-tamag0tchi]

My next biggest goal in life once college is done, is getting a nulloplasty so I never have to look at my genetals again.

I hate them.

[symphony-of-gaia]

a short list of nulloplasty resources for anyone curious:

https://github.com/Nullodyke/Let-s-Touch-Scars/tree/main (contains photos of healing scars and resulting null patch)

https://vvn.dev/nullification (CAUTION: graphic! the first photos are of the surgery site and resultant null patch, the remainder is …let's say, an exercise in bodily autonomy involving the removed organs)

https://beesbuzz.biz/articles/5195-nullification-surgery (long description; has diagrams but no photos)

https://neogenitals-evangelion.neocities.org/ (contains artfully grainy photos of resultant null patch, plus annotated anatomical diagrams)

fwiw we're not pursuing nullo, but we intimately know the frustration of wanting an uncommon surgery and struggling to find information on it.

[tgirl-tamag0tchi]

THANK YOU!!!!!!

[yuribomber]

And this website has a list of surgeons who provide nullification:

Your Smooth Bottom Line: Nulloplasty/Nullification/Nullectomy - QueerDoc • Trans Online Doctors Office - Curing LGBTQ+ Healthcare Discrimina

Nullification surgery (nullectomy, nullo) is the removal of internal and external genital structures to create a smooth appearance to the gr

It isn't an exhaustive list, I had mine done with Dr. Del Corral in Baltimore MD, but it's a good starting point

I recommend setting up multiple consultations if you can. that way if a surgeon doesn't work out for you, you won't have to wait so long to see another

[the-transgenda-agenda]

added links that were not already on the nullification page to the nullification page

[lucinull]

YES! thank you so much!!

[local-null-nb]

Everytime I rediscover this blog I get so happy <3

Thank you! I hope you have a good day

[smallestbunnyever-deactivated20]

I think all of us should discuss our hrt doses so anyone being done dirty or messing things up. Like you should reblog this right now mine is 4mg Estradiol valerate daily and 12.5mg cyproterone acetate every other day, both orally.

[arc-archaic]

mine is 3mg estradiol valerate daily orally, and Leuprorelin acetate every three months injected

[aurielfoxthing]

4mg estradiol orally 2 pills of 2 mg

100mg spironalactone orally 2 pills of 50mg

[smallestbunnyever-deactivated20]

[kat4t0nix]

4mg Estradiol sublingually. 2x2mg pills

12.5mg 1/4 cyproterone pill daily

[analog-delight]

4mg EV (0.4ml of 10mg/ml) every 4 days

[smallestbunnyever-deactivated20]

Since this keeps branching off here's some extras to add on to what I'm considering "the main thread" :)

[mathemagical-girl]

8 mg sublingual estradiol daily

100 mg spiro daily

100 mg progesterone daily for the first ten days of the month

i recently saw a post about the potential of sublingual monotherapy, so i've started trying to take the e distributed across the day instead of in one or two doses. i've wanted to try going off spiro for a while now.

[local-null-nb]

2mg estrogen orally (1 mg morning, 1 mg at night)

60 mg raloxifene (morning)

I'm intentionally trying to keep my libido low and not have chest development.

[local-null-nb]

Hey, I saw your post asking for questions about nullo, so here are a few :D

Is it possible to speak to local doctors about nullo, despite it not appearing as an option in me domestic medical websites?

Did you have to get your nullification abroad? If so, how expensive was it?

Was it required for you to be on HRT for at least a year, like with other forms of trans surgeries?

Yup! Especially doctors who offer multiple kinds of bottom surgeries! It generally is just the first part of standard bottom surgery, without constructing the other genitals.

I was able to get it done in the U.S. with Dr. Praful Rameneni with a copay of $3,000 often the copay will be far less with other insurance or even $0

With a letter from my psychiatrist, I was able to get it without waiting a year on HRT, since I wasn't planning on going on HRT - this changed after the surgery and I wound up getting HRT afterwards.

[local-null-nb]

I am an asexual trans man considering nullification. Is there a way to prevent/stop any form of sexual stimuli?

Yup! You can choose to have the nerves completely removed! No sexually sensitive nerves equals no sexual stimuli!

[local-null-nb]

Do you know if it's possible to get partial nullo? I'm pretty unhappy being female, but I'd still like to keep my clitoris if possible, just keep the rest smooth :P

Also secondary question, what's the noun for people who have null genitals? I've seen some people say nullo, but I've also heard altersex as an umbrella term

Anyways thanks for making this blog it's helping a lot with my research towards making this a reality for me!

Yup! Probably depends a bit on the surgeon if they feel confident doing that, but plenty will. The larger variety of bottom surgeries they offer the more likely to allow more customization. Definitely something to ask about in a consultation call!

Nullo is it for someone with nullification surgery? Yeah. Altersex is anyone who's attempting to physically transition outside of the typical gender binary, so that could include stuff like nullification as well as salmation surgery (both genitals)

I'm so glad to be able to help!

[local-null-nb]

If that's okay to ask, how does orgasms happen after you get nullification? If they even happen? And if they don't, how do you deal with the sexual feelings n shit?

So in theory post nullification surgery orgasms are similar to those people with vaginas experience. Fluid most similar to vaginal fluid can be expelled from the hole primarily for peeing.

At the beginning, while everything's recovering, I didn't do anything as to not put strain on the area, and then because of the hormone situation I chose I lost just about all my libido so I have not intentionally orgasmed since my surgery.

Strangely enough I had a few wet dreams for the first time in nearly a decade during the first few months of recovery - I think due to my prostate shrinking in response to hormone changes. I am at least very grateful for how much less gross and sticky it is without semen present.