#bottom surgery

[hellish-undeath]

if your partner doesn't want you to take hormones or get surgery, you should break up with them or divorce them. your body is yours alone.

[shamebats]

Source: emmettpreciado

[tboy-cock]

everybody say thank you to the brave trans men who post their post op phallo/meta dicks online from both the beginning and the ends of their procedures in order to give us pre op trans people understanding of what these surgeries actually are despite the raging transandrophobia surrounding penis creating bottom surgery

[gec-2-uu]

you will be able to afford your bottom surgery soon and your recovery will be smooth

like to charge, reblog to cast

[lowkeloki]

[imstillalexcomic]

Quick aside, I asked if I could keep my operating room socks, they said yes and I still have them and wear them to this day!

I'm Still Alex - Webtoon | Tapas | Linktree | Patreon

Ok so, it’s no great secret that the process for getting bottom surgery is long, convoluted, and involves a myriad of documentation telling the insurance company that I am indeed sure about what I want.  As it turns out, the insurance company doesn’t really care if I’m sure, so they need a bunch of other doctors to tell them that I’m sure.

It is what it is, but I do wish that “what it is” was simpler.

When I got a vasectomy in 2021 (I guess this is me announcing that, as only my wife and a few friends knew until this comic), the urologist gave me one “are you sure?” then a little spiel about how while vasectomies are reversible, reversal surgeries aren’t 100% guaranteed to be successful.  I said cool, no problem, and he followed up by saying the same. 

I was scheduled shortly after to get it done, and my insurance company was like hell yeah bro let’s do it, no questions asked.

It’s frustrating that when presenting male, beyond the standard operating procedure to inform me of what getting a vasectomy would entail and what reversal options were, I was immediately accepted, granted the procedure, and had it covered.

When presenting female, suddenly there’s a whole lot of extra folks at the insurance company that are questioning if I’m *really* sure.

As if I woke up one day and on a whim thought to myself, “you know what I feel like today?  A major surgery!”

I’m sure.

I promise.

I’m extraordinarily sure.

[this-is-varsexism-transphobia]

I've noticed that there is a massive lack of understanding in the community about what sex/gender-affirming procedures exist for varsex (intersex, ersex, dysex, transsex) and genderqueer/transgender people.

So, for the sake of awareness, here is a very brief rundown of what sex/gender reassignment surgeries exist:

Vaginoplasty: The (re)construction of a vaginal canal. The depth and width of the canal is semi-customizable, and depends on what tissue you decide to use for its creation.

Vulvoplasty: The (re)construction of the outer vulva (labia, clitoris, etc.) When this is done on a penis, the patient can choose whether or not they wish to place the labia atop/above/below the scrotum, or to turn the scrotum itself into labia.

Phallus-Preserving Vaginoplasty/PPV: A vaginoplasty on someone who has a penis or clitorophallus, which preserves the phallus while creating a vagina beneath it. Can also become a phallus preserving vulvoplasty, if labia and a clitoris are crafted beneath the phallus.

Metoidioplasty: The release of a clitoris that has been enlarged by androgens (clitoromegaly), either from HRT or from an intersex variation. The ligaments that hold the clitoris down are cut, allowing it to point upwards when erect. If this is done without any other alterations to the genitals, it is known as a Simple-Release Metoidioplasty. If other alterations are desired, the person can choose to create a scrotum (and choose if they desire testicular implants), can choose to have the vagina removed (if one is present), and can choose to move the urethra to the tip of the phallus (unless the individual already had clitoris-placed epispadias.)

Phalloplasty: The (re)construction of a penis. When done to someone with a pre-existing phallus, the person can choose whether or not they want the phallus buried within the newly crafted penis (leaving the person with only one phallus), or if they want to create the penis separately above the pre-existing phallus (leaving the person with two phalluses.) If they have a vagina, they may choose to preserve the vagina (Vagina-Preserving Phalloplasty/VPP), or have it removed. A person can choose whether or not they want their newly crafted penis to have glans, a scrotum (with or without testicular implants), or the urethra moved to the tip.

Nullification: The removal of the genitals, leaving a mostly-smooth space behind. A person can choose to keep the pleasure nerves and have them buried beneath the skin, or have them removed. If they have a pre-existing vagina, they may choose whether or not they wish to remove it.

Penectomy/Clitoroidectomy: The removal of a phallus.

Labiaplasty: The creation, removal, or reshaping of the labia.

Circumcision/Hoodectomy: The removal of the foreskin/clitoral hood.

Dorsal Slit/Ventril Slit: The creation of a slit within the foreskin.

Urethroplasty: The (re)construction of the urethra, possibly moving it to a new location.

Perineal Urethrostomy: The opening of a urethra on the perineum. This procedure can be essential to the preservation of the genital nerves for people with certain intersex variations, such as some cases of urethral agenesis or urethral hypoplasia.

Phallus Splitting: The splitting of a phallus (typically a penis) in half. This could be the entire phallus split in half (creating two separate penises), or just the glans.

Genital Beading: The insertion of beads within the shaft of a phallus, or within the labia. These beads could be of any shape (circular, square, stars, etc).

Hysterectomy/Uterectomy: The removal of part or all of the uterus.

Uteroplasty/Hysteroplasty/Metroplasty: The merging of two halves of a uterus/two uteruses, done to those who have bicornuate uterus, septate uterus, or uterus didelphys (septate type, bicornuate type, and complete type.)

Cervical (Re)construction: The (re)construction of a cervix, often done due to cervical damage or for intersex people who have cervical agenesis, cervical hypoplasia, or cervical duplication.

Trachelectomy: The removal of part or all of the cervix.

Prostatectomy: The removal of part or all of the prostate.

Gonadectomy: The removal of a gonad (ovary, testicle, ovoteste.) Oophorectomy refers to the removal of an ovary, and Orchiectomy refers to the removal of a teste.

Orchiopexy: A procedure to move the teste/ovoteste into the genital area of an intersex person with cryptorchidism.

Vastectomy: A procedure to snip the vas deferens, in order to halt fertility. This procedure may or may not be reversible.

Tubal Ligation: A procedure to tie or snip the fallopian tubes, in order to halt fertility. This procedure may or may not be reversible.

Salpingectomy: A procedure to remove a fallopian tube.

Mastectomy: The removal of a breast.

Breast Reduction: The removal of some breast tissue, reducing its size.

Nipple Reduction: The removal of some of the nipple, reducing its size.

Nipple Excision: The removal of a nipple.

Areola Reduction: The removal of some of the areola, reducing it's size.

Nipple (Re)construction: The (re)construction of the nipple.

Mammaplasty: The creation or reshaping of the breast. Breast Augmentation is a subset of this, describing a procedure done to increase the size of breasts. Mastopexy/Breast Lift is a subset of this, describing the lift of saggy breasts.

Tracheal Shave: The shaving of the Adam's apple, reducing its size.

Feminizing Laryngoplasty: The shaving of the vocal chords, increasing the pitch of the voice, as well as potentially reducing the size of the Adam's apple.

Please reblog for awareness!

[sagegreenyaps]

Hey!

From time-to-time, I hear non-binary positivity breach the topics of going on HRT, as well as top surgery (usually for transmascs, but I will get into this separately)...

But almost never bottom surgery.

So I am here to say this:

If you presently have a penis and to ANY degree would be happier without it, this doesn't automatically mean you must be a woman. You don't have to be a binary woman to be valid in wanting to have a vagina. Vaginoplasty and/or orchiectomy aren't just for binary women.

If you presently have a vagina and to ANY degree would be happier without it, this doesn't automatically mean you must be a man. You don't have to be a binary man to be valid in wanting to have a penis. Metoidioplasty AND phalloplasty aren't just for binary men.

Being non-binary also doesn't mean you have to "make peace" with your natal parts, you are allowed to transition your body in whichever way validates you the most.

Your body is yours, and only you get to live with your body for all your life.