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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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peachgreen · 12/05/2025 10:03

BundleBoogie · 12/05/2025 09:59

But if the forum of women who had breast reduction surgery was heavily policed by activists and bullies so the women couldn’t speak freely about the negative issues they’d suffered, would it be helpful?

Also if the women were gaslit and brainwashed to think they were the only ones suffering and to put aside their suffering for the greater good because breast reduction surgery must be promoted at all costs you’re not going to get an objective answer.

I would certainly recommend also asking the question on a forum specifically for people who have detransitioned or have transition regret in order to get a balanced view.

peachgreen · 12/05/2025 10:01

TheKeatingFive · 12/05/2025 09:59

The OP can ask what she wants on this forum, yes?

So next question

Indeed: but I can also ask what her motivations were for doing so.

peachgreen · 12/05/2025 10:00

TheKeatingFive · 12/05/2025 10:00

There are masses of vids on X and TikTok about this, it's all out there.

Indeed: so again, why ask on Mumsnet?

peachgreen · 12/05/2025 10:00

nauticant · 12/05/2025 09:58

To get a discussion going, to invite different views, to increase awareness.

Are you a bot?

A bot? No. I have a long posting history here.

TheKeatingFive · 12/05/2025 10:00

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?

There are masses of vids on X and TikTok about this, it's all out there.

CautiousLurker01 · 12/05/2025 10:00

MyOliveHelper · 12/05/2025 09:05

I can very much believe that many of the people that tap away here have.daughtsrs with lip fillers and a boob job on the cards. Hilarious.

On the basis that neither of these are available on the NHS (and thus funded by the taxpayer), have little to no post procedure complications (and the costs of sorting them out if there are any is funded by the individual, so again not an issue for the taxpayer), and are also completely reversible, I’m not sure what your point is?

borntobequiet · 12/05/2025 10:00

peachgreen · 12/05/2025 09:54

Asking the question? It's not a problem at all. But I'm still not sure what made OP think that Mumsnet was the right place to ask it, rather than forums where people who have had this kind of surgery might actually be.

If I wanted to understand why people undergo breast reduction surgery and their experiences of doing so, I would ask on a forum for women who have had breast reduction surgery, not a forum of men who are noted for their negative opinions towards woman who want breast reduction surgery.

And yet people (mostly women, we know) post about their pets on MN rather than/as well as on pet forums, about DIY, Style and Beauty, work related issues, films and TV, mental health…

Why single out this topic as something that should be discussed elsewhere?

TheKeatingFive · 12/05/2025 09:59

The OP can ask what she wants on this forum, yes?

So next question

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?

BundleBoogie · 12/05/2025 09:59

peachgreen · 12/05/2025 09:54

Asking the question? It's not a problem at all. But I'm still not sure what made OP think that Mumsnet was the right place to ask it, rather than forums where people who have had this kind of surgery might actually be.

If I wanted to understand why people undergo breast reduction surgery and their experiences of doing so, I would ask on a forum for women who have had breast reduction surgery, not a forum of men who are noted for their negative opinions towards woman who want breast reduction surgery.

But if the forum of women who had breast reduction surgery was heavily policed by activists and bullies so the women couldn’t speak freely about the negative issues they’d suffered, would it be helpful?

Also if the women were gaslit and brainwashed to think they were the only ones suffering and to put aside their suffering for the greater good because breast reduction surgery must be promoted at all costs you’re not going to get an objective answer.

monkeyspaw · 12/05/2025 09:58

peachgreen · 12/05/2025 09:45

OP, can I ask what made you decide to ask this question on Mumsnet? Would it not have been better to ask a forum where there are likely to be some actual trans men who might have lived experience in the area? What kind of answers were you hoping for by posting the question on a forum that is known for being majority gender critical?

Kindly, if you go to a transmen forum (I presume you mean Preddit) you will not get anything approaching honesty about what is really involved, and what the real outcomes are. Apart from the fact that there is a terrible circle jerk effect of "mine didn't work and I'm now disabled but it's still SO GREAT/yours will so you should deffo do it" any women (transmen) trying to post about poor outcomes are either downvoted to extinction, or their posts are deleted for transphobia.

On mumsnet there are women who know a lot about the terrible costs of this, and many have daughters or relatives who have been thrown into this meatgrinder of troubled girls/women.

nauticant · 12/05/2025 09:58

To get a discussion going, to invite different views, to increase awareness.

Are you a bot?

peachgreen · 12/05/2025 09:56

Naunet · 12/05/2025 09:52

Why are you trying to police where OP posts?

I'm not policing it. I'm asking her why.

Penguinsrus · 12/05/2025 09:56

peachgreen · 12/05/2025 09:45

OP, can I ask what made you decide to ask this question on Mumsnet? Would it not have been better to ask a forum where there are likely to be some actual trans men who might have lived experience in the area? What kind of answers were you hoping for by posting the question on a forum that is known for being majority gender critical?

Whatever the views of trans people or gender critical people, the medical research evidence on problems caused by surgical procedures is currently fairly clear …after the Cass report, I was incredibly sad to think how NHS professionals were complicit in causing harm to multiple children and young people, as times go on I think we will become even more aware at how health care has been complicit in causing harm to trans adults. Historically those with severe body dysmorphia ended up in the mental health system because it was recognised they needed support.

Gloriia · 12/05/2025 09:55

peachgreen · 12/05/2025 09:51

Why not ask the question there, then?

We can canvas opinions wherever we like. It'd like asking for advice about a mil/grandma issue and you telling them to go post on granset.

I can't imagine anyone asking wtf have you done to your body and does it even work would be well received on sites supporting delusions about changing sex.

TheKeatingFive · 12/05/2025 09:55

Hoppinggreen · 12/05/2025 09:53

Mine doesn't - is it ok for me to have an opinion on FGM then?

Yeah, mine doesn't either. Am I good?

peachgreen · 12/05/2025 09:54

nauticant · 12/05/2025 09:46

I'd imagine the OP wanted others to be informed about these horrific procedures. What I don't understand is why that should be a problem.

Asking the question? It's not a problem at all. But I'm still not sure what made OP think that Mumsnet was the right place to ask it, rather than forums where people who have had this kind of surgery might actually be.

If I wanted to understand why people undergo breast reduction surgery and their experiences of doing so, I would ask on a forum for women who have had breast reduction surgery, not a forum of men who are noted for their negative opinions towards woman who want breast reduction surgery.

NautilusLionfish · 12/05/2025 09:54

StellaAndCrow · 12/05/2025 09:39

"If it was to pee from a phallic appendage then probably over 92% success rate." I'd be interested to see the source of the statistic. Though I suppose it depends what you mean by 'pee through a phallic appendage'. Very many develop fistulas - holes along the length so the pee comes out. Very many have episodes of retention where they can't pee AT ALL until they go to hospital and end up needing suprapubic catheters. And lots of infections, graft rejections. Using membrane from the mouth (buccal graft) to create "urethral lengthening" - then having long term mouth problems with pain, restricted mouth opening and difficulty speaking.

And some people have rigid or semi-rigid implants to allow penetrative sex, but there have been cases of these eroding through the created tip of the neophallus, so they have to be replaced.

It's such a lot of suffering and disability to cause in a previously healthy body.

I put a link to two metareviews earlier. The second link talks of voiding while standing (i.e. peeing standing) being most successful outcome at 92% . I have pasted it here again and highlighted it for you @StellaAndCrow Am not sure if the rate of complications is higher than other surgeries but again, hard to compare surgeries (And in this case, hard to say what is lifesaving surgery as some trans people will say such a surgery saved their life (or will save it) and I cannot disprove that)

https://pubmed.ncbi.nlm.nih.gov/29019859/

https://www.sciencedirect.com/science/article/abs/pii/S2050052122000129
database searching generated 39 final articles, with 19 case series, 3 cross-sectional studies, and 17 retrospective cohort studies. A total of 1731 patients underwent phalloplasty, with the most common type of reconstruction performed being the radial forearm free flap (75.1%). Overall complication rate was high at 76.5%, of which urethral complications were high in all reconstructive subgroups (urethral fistula rate of 34.1% and urethral stricture rate of 25.4%). Postoperative functional outcomes were reported in 57.6% of patients, finding that most had tactile sensation (93.9%) and can void while standing (92.2%). Aesthetic outcomes were only reported in 6.3% of patients, with mean length achieved being 12.26 cm (SD = 0.81 cm) and mean circumference being 10.18 cm (SD = 3.69 cm).

TheKeatingFive · 12/05/2025 09:54

Naunet · 12/05/2025 09:52

Why are you trying to police where OP posts?

The poster is just trying to shut the OP up. We all know that.

Hoppinggreen · 12/05/2025 09:53

MyOliveHelper · 12/05/2025 09:05

I can very much believe that many of the people that tap away here have.daughtsrs with lip fillers and a boob job on the cards. Hilarious.

Mine doesn't - is it ok for me to have an opinion on FGM then?

BundleBoogie · 12/05/2025 09:53

peachgreen · 12/05/2025 09:45

OP, can I ask what made you decide to ask this question on Mumsnet? Would it not have been better to ask a forum where there are likely to be some actual trans men who might have lived experience in the area? What kind of answers were you hoping for by posting the question on a forum that is known for being majority gender critical?

This is a serious issue of the exploitation of the young and vulnerable by activists who have infiltrated and persuaded the NHS to further this abuse.

It is an important public health issue in the same way that FGM is (the outcomes are identical, if not worse) but unfortunately too many people just hear the lies from the activists and don’t understand the reality.

Phalloplasty requires a hysterectomy and oophorectomy. Why do you think the NHS refuses to sterilise women under 30? Then apply that to girls with the mental health condition that makes them hate being female.

Naunet · 12/05/2025 09:52

peachgreen · 12/05/2025 09:51

Why not ask the question there, then?

Why are you trying to police where OP posts?

peachgreen · 12/05/2025 09:51

ArtTheClown · 12/05/2025 09:50

OP, can I ask what made you decide to ask this question on Mumsnet? Would it not have been better to ask a forum where there are likely to be some actual trans men who might have lived experience in the area?

The OP's decision to post was triggered by a reddit forum of transmen and their "lived experience".

Why not ask the question there, then?

peachgreen · 12/05/2025 09:50

Seriestwo · 12/05/2025 09:48

Trans identified females who have health impacts from this surgery are reluctant to talk about it because they get shunned by others in their “community” if they speak up.

that’s the opposite of kind.

There are forums specifically for those who have detransitioned as well. Another place where OP would have been more likely to get more useful answers than on here – which is why I'm curious what prompted OP to post this question here on Mumsnet.

ArtTheClown · 12/05/2025 09:50

OP, can I ask what made you decide to ask this question on Mumsnet? Would it not have been better to ask a forum where there are likely to be some actual trans men who might have lived experience in the area?

The OP's decision to post was triggered by a reddit forum of transmen and their "lived experience".

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