Do phalloplasties actually work?

How does one even define what 'works' means in this context?

It doesn't work like a normal penis of course, how could it?

So what else is included in 'works'?

Then perhaps the answer to the Op's question is that whether they "fully work" depends on what the "patient's" goal was. If it was to pee from a phallic appendage then probably over 92% success rate. If to satisfy their feeling like a man, then that depends on their feelings pre and post op. If to do all the major characteristic physical functions of weeing and being erect, then a lower rate. If to include sperms production then probably not. However there are men who don't havr elections or produce sperms but are still men by virtual of their biological sex. So op's question is actually complicated. In terms of biology no a phalloplasty will not switch the chromosomes but it terms of what the patient wants to achieve it may be highly successful

Indeed. I do not think mutilating genitals is no better or worse that mutilating tummies, books, faces. Because while we often see the faces and boob's that did well post surgery there are many that went horribly wrong. And there others where surgeons have performed multiple surgeries on women who have become obsessed with cosmetic enhancement that they are, for lack of a better word, deformed beyond recognition and are essentially being repeatedly mutilated. And yes sometimes it is to look like a different person. It's all more complicated and nuanced that we sometimes would like to believe

I personally don’t agree with young women feeling they must get breast enlargements or have Botox to fit an unreal sexualised Beauty standard so they can attract the male gaze. I also don’t think women should be told having a skin graft from their arm will give them a fully functioning penis and make them a man. See I can care about both. This thread was asking if they work. Not very often and never fully. Plus as these women are women how would they know what a fully functioning penis actually was? They wouldn’t because only a man with an actual penis knows that exactly the same as a man with an vaginoplasty doesn’t know if it’s the same as a real one (it isn’t).

oh that just doesn't bear thinking about.

Agree it’s sad that these surgeries are becoming normalised as well. The phalloplasty seems to be a particularly complex procedure with a very high rate of complications though.

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

@MyOliveHelper Its nothing whatsoever to do with stopping trans people existing, are Trans people who choose not to have these surgeries no longer Trans in your opinion ?

And now people happily say "adults should feel free to have whatever surgeries they and their doctors decide~~, it's only children I'm concerned about".

I know from conversations with less online friends of mine that most people have literally no idea what these surgeries involve, how many go wrong and what it looks like even in the best let alone the worst outcomes. They imagine it like a sort of transplant (haha) and think that the ethical issue is just whether it's wrong to interfere with the bodies God created or something.

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

I find it funny that people would be spitting fury about some random teen getting surgery but forget their daughter is having botox at 23

Reddit will give you a snapshop but not rounded evidence. Fot exsmple there might be over representation of those witg complications because they are seeking advice or reassurance. Herr are links to 2 studies (abstracts only but gibe you a good sense of results) .
https://pubmed.ncbi.nlm.nih.gov/29019859/

https://www.sciencedirect.com/science/article/abs/pii/S2050052122000129

Overall good functionality, not too bad rate of complications. Note that first abstract incluse is cismales who have the surgery for various reasons other than transitioning.

In terms of orgasm who knows if that's a big deal. If you hated or disliked your genitalia to begun with organising may have been difficult or absent. So it might not be that important post op.
Just thought these may offer more nuanced evidence less coloured by the sociopolitics of the transitioning debate.

Some of them involve mutilating your genitals. Cosmetic surgeons do more labioplasties on women that know they are women than men who want to fashion a vagina or women who want a penis. On the whole, they do more boob jobs on female teens than they do on trans people.

Amazed you find all this funny but you do you I suppose.

So anything people want done is ok? What about the women who can't have breast reductions even though they have debilitating back pain? Or the women who can't get a hysterectomy due to extreme pain as doctors say they might decide they want children later?

Giving people unnecessary and experimental treatments to try to fix dysphoria is insane

'You think a young woman who believes that she needs big rubber lips and a massive arse to look good is mentally well?'

Of course people aren't mentally ill if they have fillers, in the same way they arent mentally ill if they wear make up. I'm not a big filler fan but they don't think it makes them a different sex that is the issue. Injecting fillers again is not comparable to massive mutilating surgery which leaves a lump of useless skin and tissue dangling and all the potential complications of incontinence etc.

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.

There are actually loads of threads on this topic on mumsnet if you look. I don’t agree with women feeling pressured to have those procedures either, but it is a different issue entirely. And the surgeries aren’t as extreme as having genitals mutilated.

So much body modification seems predicated on mental vulnerability. But there's a particular horror in healthy young women having double mastectomies, drugs that render them infertile and likely affect their brain and bone development and brutal experimental surgery leading to the catastrophic consequences detailed on here.

These are our children and young people and we need to do better to remove the dangerous adults pushing this stuff at them.

And sorry but I think many people having this cosmetic surgery do so because they think it makes them a more elite form of their gender. They're fitting more of the traits a worthy man or woman would have.

Well I tell you what, why don't you just highlight one or two papers or reviews that you feel were particularly influential at you reaching your current highly educated position?

Unfortunately this research area is full of poorly set up and low-powered studies and it would take me a long time to do a full literature search and sift down to the useful studies.

See my previous post. If you don't think a woman like Katie price is mentally unwell, then I don't know what to say to you

You are being slightly economical with the truth here though.

Sometimes arms are used as the graft donor site but it is full thickness skin which leaves tendons and nerves dangerously exposed and causes a high rate of complications such as swelling of the hand (because lack of skin on the arm hampers normal lymph drainage (a full body system for cleansing tissue etc) and lack of movement/function in the hand.

Thr thigh is another popular site which has its own issues. Again the full thickness skin graft, nerve damage, infection risk etc.

The issues with the operative site are extensive and very frequently occurring - the complication rate is reported as high as 90% and several deaths have occurred as a result of recurring infections and other issues.

Issues with fistulas and failure of the urethra extension mean many remain incontinent and subject to countless infections and chronic pain.

An earlier pp claimed that the kids (many are under 25) make informed judgements but this is incorrect. Doctors routinely downplay the risks, they are discouraged from looking at sites that provide the information I describe above (cos transphobia) and pro trans sites hide the truth. One US hospital made presentations on the high profitability of these processes because of the creation of a lifelong ‘frequent flier’ surgical patient.

Horrifyingly the utterly captured NHS (see Darlington nurses etc) are creating a hospital dedicated to these surgeries. It’s on the South coast as I remember. I imagine they are hiding information in this as they know how horrified people would be if they found out.

I never even thought of that. Christ.

This with bells on.

It is performing a massive mutilating op on someone who has mental health issues and believes it will make them something that they are not.

Anyone having their teeth done just wants straight white teeth. They don't believe it makes them a different person.

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?