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Share your dilemmas and get honest opinions from other Mumsnetters.

Do phalloplasties actually work?

562 replies

SilverTapz · 11/05/2025 22:38

After wondering about this for a while, I ended up searching phalloplasty online and ended up on a Reddit page where people post their progress. I had never seen one before an was curious, I guess. It was actually quite shocking. People with what looks like no muscle left on their forearms, someone with a necrotic 'scrotum', someone where the stitches were wide open and the tip has turned black and left a gaping hole etc etc. People seem to be commenting saying that they look great, they've made the right decision etc, but honestly they look absolutely butchered. It's scary. And I guess my question is, do they actually function? Some of these people are so young and it's scary what they've done to their bodies. I can't help but think a lot of them will regret the decision. Is it mainly cosmetic? Can they orgasm? Honestly just very shocked by what I've seen!

OP posts:
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borntobequiet · 12/05/2025 11:01

StellaAndCrow · 12/05/2025 10:57

Whatever peachgreen was trying to do, they've managed to keep the thread in "Trending" for a while 😆

It must be interesting to see the tactics for the first time, particularly the disingenuity and the dismissal of the idea that we have genuine, well founded concerns. No wonder MN has peaked so many.

TopographicalTime · 12/05/2025 11:00

I find the rhetoric of 'only someone with X can have knowledge about X' very odd - I've lived somewhere with a gas boiler most of my life but I know naff all about boilers.

Does someone with a pacemaker automatically achieve knowledge about pacemakers? They could tell you about their experience of having one but that's it.

I'd rather hear from someone who
is qualified in the area, or someone who has read widely on it. When it comes to any controversial topic or where money is changing hands there will be bias. A surgeon who is paid to do phalloplasty is not unbiased.

FlirtsWithRhinos · 12/05/2025 11:00

Nameychangington · 11/05/2025 22:57

Or we could ask someone like transman Scott Newgent who's had one:

https://www.genderdysphoriaalliance.com/post/meet-scott-newgent

Thank you for this link and the wider site. As a feminist I find the stories of trans people who want to share the insights it gives them into how men and women exist in the world so valuable and interesting.

GoodCharl · 12/05/2025 11:00

Omg im shocked that this is even a thing. Terrible 😣

Moonmelodies · 12/05/2025 10:57

Another odd thing you see on the phalloplasty reddit is how they seem obsessed with peeing standing up, and with hanging around locker rooms naked. They don't seem to be aware that many men do neither, and even more perhaps would never do the latter.

StellaAndCrow · 12/05/2025 10:57

Whatever peachgreen was trying to do, they've managed to keep the thread in "Trending" for a while 😆

FiveBarGate · 12/05/2025 10:55

MyOliveHelper · 12/05/2025 08:27

Actually no, destroying your adult teeth in your early 20s for good is a pretty extreme thing to do. If you can't see how they are comparable, then perhaps you don't have a true place at the table for this debate.

It's extreme body modification without proper informed consent, often to people too young to realise the enormity of their actions. The only difference is that most the people getting their teeth filed down to nubs don't identify as trans.

I wouldn't want my child to do this either. I'd be massively concerned about the risks and future maintenance and would tell them so.

The difference is I wouldn't be called a bigot and told suicide is the only alternative.

I spent my teens and 20s wishing for bigger breasts. Then I had children and now they are a pain in the arse and I'd like to be flat chested again.

I wonder if people are dismissive of the risks because they are primarily young.

Conversely this site worries more because most of us are mothers and have experienced incontinence so it's not an abstract thing that might happen. We know how debilitating it can be.

We've also had to get used to bodies we no longer recognise as our own after childbirth. It's not easy but surgery is also rarely the answer.

Penguinsrus · 12/05/2025 10:55

@SilverTapz a study on sexual function / sensitivity after surgery https://pmc.ncbi.nlm.nih.gov/articles/PMC8498953/ …points to note from the authors “Transmasculine persons should be informed that there is a chance that postoperative sexual functionality of the neophallus will be suboptimal and that sensitivity will likely be reduced, with a long and slow recovery toward an end result that remains unclear” “Sensory outcomes are complex and this study only measured the most superficial components of sensory experience. Based on qualitative findings, we conclude that outcomes often do not match expectations, which causes dissatisfaction in a proportion of participants. Hence, it is necessary to inform transmasculine persons extensively on what to expect after phalloplasty and discuss the considerable probability of having to face shortcomings with regard to the esthetic and/or functional outcomes as well as a reduced sensibility and long recovery time”. @peachgreen you do realise that there is a difference between personal experiences and research studies?

How Sensitive Is the Neophallus? Postphalloplasty Experienced and Objective Sensitivity in Transmasculine Persons - PMC

Tactile and erogenous sensitivity of the neophallus after phalloplasty is assumed to affect the sexual well-being of transmasculine persons and, ultimately, their quality of life. The experienced and objective sensation of the neophallus and their ...

https://pmc.ncbi.nlm.nih.gov/articles/PMC8498953/

borntobequiet · 12/05/2025 10:55

peachgreen · 12/05/2025 10:15

As I said before, a forum for surgeons who carry out phalloplasties would also be a great place for OP to ask these questions. Actually, to be honest, that would probably the best place to do so in order to get factual answers to those specific questions.

I suspect such a forum might be rather a dangerous place to look for honest answers.

Lovelysummerdays · 12/05/2025 10:55

peachgreen · 12/05/2025 10:33

If a man wanted to get an answer to questions like "Do women regret abortions? Can they still have babies after an abortion? How long after an abortion can women have sex again?" you would be happy for them to ask a form of men and not involve any women? Really?

And obviously lots of men are pro-choice. But in this specific example, I'm comparing said forum of men to Mumsnet which is notoriously gender critical. So in the example, the form would be known for being anti-abortion.

I think you equate gender critical with anti-trans or transphobic which is not the case we are just pro women’s single sex rights.

I would have no issue with your theoretical man asking questions. It’s often a good idea to consider a wide wide range of places to get information from as you learn nothing in an echo chamber.

The problem is when you take that knowledge and try and impose your viewpoints on others. I do believe that some women regret abortions and they can (rarely) cause future fertility issues, still very pro choice but people need proper counselling and to make an informed choice.

I think phalloplasty surgery sounds brutal, multiple surgeries over years for often questionable results. I’m not saying no one should have it done . I’m saying that given the permanent effects, chance of negative outcomes and sterility thst there should be a lot of psychological counselling and the decision making should be informed.

I’d also question use of NHS resources on gender reassignment. I think they’d better spent on mental health care and counselling to help people accept their bodies.

Allthegoodnamesarechosen · 12/05/2025 10:54

Bikergran · 12/05/2025 08:26

Women can pee standing up, with a bit of practice. Place the flat of your hand above the pubis, pull upwards, then pee. The aim isn't great, and you really need to go commando, but it's handy when you're camping or at a festival with gross toilet facilities.

Yes, pre public toilets for women ( ha, ha , those were the days) women had to pee ‘standing up’ , or at least squatting a bit. The older public female loos in many parts of France and in the Middle East have loos designed for this, they consist of a ceramic tray with a drain and two raised areas for the feet. Grim but presumably usable.

‘Lower class’ women pre public loos used to pee in pairs, so one could shield the other.

Totallymessed · 12/05/2025 10:54

peachgreen · 12/05/2025 09:59

It's interesting that you're all assuming I'm pro-phalloplasty. For the record, I'm not. But I still don't think Mumsnet is the place to ask very specific questions about phalloplasties like "do they work" and "can they orgasm". Surely those questions would be better asked to people who have had this surgery?

Ah yes, another "very not pro phalloplasty" poster who seems very determined to shut down honest discussion.

You know your intentions are obvious, right?

borntobequiet · 12/05/2025 10:53

peachgreen · 12/05/2025 10:12

The questions OP asked could be answered very simply and factually by people who have undergone a phalloplasty. Whether those answers would be positive or negative I have no idea, but they would certainly be more accurate than the answers given by the average Mumsnet users, purely through the benefit of lived experience.

“Lived experience” is a very partial filter, as we know very well. Objective scrutiny is less likely to be biased than subjective. One thing about these boards is the very thorough way research is carried out and shared. We have indeed educated ourselves.

LesserCelandine · 12/05/2025 10:53

peachgreen · 12/05/2025 10:45

Anyway, I have made my point and – despite what some on the thread seem to think – I genuinely had no intention of derailing any thread, so I will bow out now. But OP, if you are genuinely interested in the answers to your specific questions, I urge you to also ask them on forums for trans men, and women who formally identified as trans men but have now detransitioned, where you're more likely to get accurate answers.

You need to read OPs post - she came here after being horrified by what she saw on a forum for trans who had had this procedure.

LadyBracknellsHandbagg · 12/05/2025 10:53

FOJN · 12/05/2025 10:40

Just highlighting another manipulative tactic of the activists.

.....stopping trans people from existing....

The language suggests that anyone questioning gender ideology is motivated by bigoted attitudes which lead to genocidal intentions. It's deliberate. You wouldn't want to have something in common with the Nazis, would you?

It's manipulative and childish. Questioning whether radical body modification, which creates lifelong medical patients, is the most effective treatment for the mental health condition gender dysphoria does not make you an advocate for genocide and you should not take anyone who uses this argument seriously.

‘Stopping trans people from existing’ a very well used falsehood on the TRA bingo card. The childishness of their responses only serves to reinforce that they are not sufficiently informed to be able to consent to this horrific surgery.

’Give me what I want or I’ll kill myself’, ‘by not giving me what I want you obviously don’t want me to exist’, ‘refusing my demands is literal genocide’ these people are mentally unwell, how many more examples of it do we need?

ArabellaScott · 12/05/2025 10:52

Another one:

'I’ve been in a whirlwind since having bottom surgery last year. I transitioned at 14, and I always felt like I was just following the next appropriate stage in my transition. And I always felt so much happier and closer to what I thought was my authentic self. And bottom surgery has snapped me out of it. Im realizing that I was an ultra tomboy, sure, and I definitely thought I was a boy as a kid, but now I’m adult with my whole life ahead of me and I’m mourning not having normal genitals anymore. And I’m mourning not even really having a girl childhood. '

ArabellaScott · 12/05/2025 10:51

Well, as pp suggested, I went and had a look on the reddit detrans thread. It's very, very sad. I hope the young people there get the support they clearly need.

This post (I don't want to link it so as to protect the privacy of the person making it) may be informative for the poster claiming that 'of course' trans people are aware of the risks:

'I need help I’m desperate, I was Ftm for 4 years and I used T for 3 and a half years. I had a hysterectomy and ovariectomy 3 months ago and I’m so sick, I feel desperate. No one had informed me well of everything that involved removing the uterus and ovaries. I want to detransfer. I’m so sick. Have any of you had experiences of detransition after hysterectomy and ovariectomy? I’m only 22 years old and I’m so sick. I was so traumatized by removing the uterus and ovaries that I woke up from past traumas and realized I was in a real nightmare. It was nothing real. My psychologist had given me in a single session of time and in 15 minutes of time the documentation to be able to access testosterone, I had recently turned 18 years old, despite knowing that I had a diagnosis of Borderline personality disorder for years and I had had a very difficult adolescence, with an attempted suicide and substance abuse. I was 16 years old at the time of abuse and before that moment I had never thought I wanted to be FTM. Then I met a trans friend right at a time when I was very sick and that seemed to me the only solution to be fine, I wanted to be saved from all that. I felt my beauty as a condemnation and finally I destroyed my body. I hate myself so much for this. I have been in therapy with a psychologist for 3 months and unfortunately we realized that my past traumas such as abuse and more had convinced me of all this and of being FTM because I simply hated my body for what had happened to me and for the attention they reserved for me. I didn’t want to exist anymore, but I was so beautiful and I loved myself. I thought that in that way men would stop reserving those things for me, so that I could be safe.'

LadyBracknellsHandbagg · 12/05/2025 10:46

TheGoddessFrigg · 12/05/2025 09:12

Oh FGS - young women thinking plastic surgery is somehow compulsory and routine - is a hugely depressing development.
Can you not get your head around the idea that ALL plastic surgery and surgical body modification is immensely damaging for young women, especially those who are vulnerable or autistic

They understand it just fine, they’re just wilfully misunderstanding because the actual horror and barbarity of what they advocate for is too much for them to accept. They use false equivalence, it’s common amongst this community.

ArabellaScott · 12/05/2025 10:45

TheOriginalEmu · 12/05/2025 04:26

of course they are told of the risks! Do you imagine some dodgy doctor with long coat on is handing out puberty blockers and phalloplasty and not explaining the risks of both??

You mean, are doctors making money out of selling these meds and procedures? Sometimes by circumnavigating the law by offshoring their company, and using loopholes in EU law to provide drugs to children, etc?

peachgreen · 12/05/2025 10:45

Anyway, I have made my point and – despite what some on the thread seem to think – I genuinely had no intention of derailing any thread, so I will bow out now. But OP, if you are genuinely interested in the answers to your specific questions, I urge you to also ask them on forums for trans men, and women who formally identified as trans men but have now detransitioned, where you're more likely to get accurate answers.

LadyBracknellsHandbagg · 12/05/2025 10:42

MyOliveHelper · 12/05/2025 08:59

So is much of the cosmetic surgery on yoing women who suffer from.their own forms of dysphoria. You think a young woman who believes that she needs big rubber lips and a massive arse to look good is mentally well?

You’re just repeating the same thing over and over again and I have already responded, it’s getting boring.

Hoppinggreen · 12/05/2025 10:41

peachgreen · 12/05/2025 10:13

I think it's extremely unlikely that there are many trans men using Mumsnet...

There are a few, assuming they are telling the truth about who they are

TonTonMacoute · 12/05/2025 10:41

peachgreen · 12/05/2025 10:34

I agree. But the best place to get "a solid grounding in medical facts" about abortion would not be a forum for men which is notably anti-abortion, just like the best place to get medical facts about phalloplasty is unlikely to be Mumsnet.

I believe qualified medical professionals do look at Internet forums sometimes. People go on websites to argue (and attempt to police) people they disagree with all the time.

peachgreen · 12/05/2025 10:40

BundleBoogie · 12/05/2025 10:35

I’ve explained that’s not possible though.

A trans forum is heavily policed and no one is able to speak freely and detrans forums don’t exist.

This is in no alway equivalent to men talking about abortion!

Try and see it as more women with some life experience, some with medical experience and a few transmen (you seem to have ignored missed the trans person on the thread?) discussing the blatant exploitation of young women with mental health issues and see if that helps your aversion to this thread?

Thanks for helping it stay bumped though.

Detrans forums do exist. There's three on Reddit alone.

I agree that no one place is likely to get you a fully unbiased range of answers. But asking actual trans people who have undergone phalloplasty – whether they regret it or not – WILL get you more accurate answers than asking on Mumsnet.

FOJN · 12/05/2025 10:40

MyOliveHelper · 12/05/2025 08:30

You're not calling out the price of horrific surgery though. You're targeting one set of people who have horiric surgery that they're probably not informed enough to consent to. You don't seem to care about others who are the same age and having it for very similar reasons as long as they identity as the correct sex.

That shows its all about stopping trans people from existing over saving people from the horror of extreme, unethical surgery.

I'm against all those types of cosmetic procedure for the same reasons.

Just highlighting another manipulative tactic of the activists.

.....stopping trans people from existing....

The language suggests that anyone questioning gender ideology is motivated by bigoted attitudes which lead to genocidal intentions. It's deliberate. You wouldn't want to have something in common with the Nazis, would you?

It's manipulative and childish. Questioning whether radical body modification, which creates lifelong medical patients, is the most effective treatment for the mental health condition gender dysphoria does not make you an advocate for genocide and you should not take anyone who uses this argument seriously.