Please or to access all these features

AIBU?

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:
Thread gallery
14
Hoppinggreen · 12/05/2025 08:00

I appreciate that its personal choice but Doctors should refuse to perform uneceessary operations with a low chance of success and a high chance of complications.
No reputable Doctor would do this, its all about money

Hoardasurass · 12/05/2025 07:56

GargoylesofBeelzebub · 11/05/2025 23:15

It's absolutely barbaric. Given how high the failure rates are it's astonishing it's still allowed.

Yes its a little squeeze pump usually in the fake scrotum

Sorry quoted the wrong post 🤦‍♀️

AstonUniversityPotholeDepartment · 12/05/2025 07:56

LadyBracknellsHandbagg · 12/05/2025 07:53

That article screams mental health issues, it isn’t in any way an endorsement of this utter barbarity.

Precisely. But we've been told to listen to what "trans men" have to say, so let's hear them.

Bunnycat101 · 12/05/2025 07:55

I think regardless of the particular procedure, it feels like some of the interventions have not been held to the same research and ethical standards for other aspects of care and that is a problem. The bar has been lower for gender identify services. I couldn’t even get my wisdom tooth taken out as the consultant was worried about the risk of the harm and the balance of risk.

LadyBracknellsHandbagg · 12/05/2025 07:53

AstonUniversityPotholeDepartment · 12/05/2025 00:15

In that case, read this essay on the subject from someone who is very happy with the results of a phalloplasty procedure.

https://nymag.com/intelligencer/article/gabriel-mac-essay.html

That article screams mental health issues, it isn’t in any way an endorsement of this utter barbarity.

Gloriia · 12/05/2025 07:53

'It’s interesting because as a person who lost a leg at the hip as well as pelvic muscle. my body looks very different to the norm. If I was to have reconstructive surgery I still wouldn’t look ‘normal’ but for me it would be fantastic. Who is anyone else to judge what I want my body to look like? Same goes for trans men.'

But many of us will have had major surgery and reconstruction for varying medical issues. 'Same doesnt go' for those with body dysphoria. Mutilating a body when there is not a disease to cure is not a medical issue .

sevilleorangemarmalade · 12/05/2025 07:51

Transmen who have undergone this procedure pee standing up , get erections as a response to visual or physical stimulation, and ejaculate when they climax?

For clarity: some GMs are able to pee standing up, but many develop issues which mean that the urine dribbles out of the flesh sausage that forms their faux penis at points other than the end of it. TMs can use a manual pump to give the impression of an erection but it's nothing like the real thing. They can't ejaculate because they have no testicles and don't produce sperm, so if they produce anything it's going to be urine. And one of the big complaints from TMs is the fact that they don't have much sexual response. I imagine it's quite difficult to feel sexually aroused when such a high percentage of TMs with phallopasties have chronic, ongoing urinary infections which can cause serious kidney disease.

Lovelysummerdays · 12/05/2025 07:50

Lardychops · 12/05/2025 07:30

Surely this isn’t available in the NHS??
Are we actually paying for this shit??

https://www.leedsandyorkpft.nhs.uk/our-services/wp-content/uploads/sites/2/2022/02/Phalloplasty_leaflet_v3.pdf

It is indeed, the wait lists are really long though. I think one of the complaints of TRAs is the waiting lists and time taken for “gender affirming” care.

https://www.leedsandyorkpft.nhs.uk/our-services/wp-content/uploads/sites/2/2022/02/Phalloplasty_leaflet_v3.pdf

breakfastdinnerandtea · 12/05/2025 07:48

Seriestwo · 12/05/2025 07:24

They are doing this surgery at Chelsea and Westminster in London. It’s FGM, or rather, it would be but the women having it done are over 18 so the anti FGM legislation doesn’t protect them.

Do we know what the staff there think of this? I know they’re allowed to consciously object to certain healthcare things but as far as I’m aware this isn’t included (I’m only aware of abortion and IVF type procedures). Can they object to being in the operating room when this procedure is going on?

Lucelady · 12/05/2025 07:48

I think it is important that people understand what this surgery really means. It's not just wearing male attire and having a few tattoos.
We have allowed self ID for GRC which doesn't require surgery. So after the supreme Court ruling TRA move on to another group of vulnerable people. Very few bio male TW have surgery so they target vulnerable female kids. By 13 there are enough algorithms targeting teenagers with happy 'glitter' stories about their fabulous transgender lives. Add in Stonewall pushing into schools with their agenda and we have a perfect storm. I lost my happy feminine daughter to this ideology eight years ago. I've spent a decade fighting the surgeons knife. After the Cass report the TRAs moved onto universities. It's even harder to monitor the utter sh*te that is discussed there. We cannot legislate adults but we also don't have to be quiet about the utter lies that are told to vulnerable often ND or SEMH young people. I make it my business to read, watch and listen about trans issues. Only 8800 people indentify as trans in the UK but we push it under the carpet at our peril.
Read Chloe Cole if you want to understand the American agenda behind FTM. It's sinister.
Fwiw my daughters friend spent two weeks in hospital with bladder and bowel issues brought on by testosterone.
I hope she is not planning more modifications.

Gloriia · 12/05/2025 07:46

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

God, that is absolutely shocking. The terribly scarred graft sites, the lumps of skin pretending to be penises. Why would any reputable health care professional do that to someone. It is gross and as pp have said just self harm on a monumental scale.

Lovelysummerdays · 12/05/2025 07:34

Tinseltuttifruitti · 12/05/2025 06:07

https://www.nytimes.com/2022/05/10/magazine/phalloplasty.html?unlocked_article_code=1.Gk8.9PvW.9aqXAXtdyIEx&smid=url-share

This article presents a rosy view but explains the mechanics well. I read it a while ago and found it very sad, worth reading to the end.

I read it, it was interesting. A one third complication rate is lower than I thought it would be tbh. The idea of living with a splayed open penis (hot dog stage) though! I’d love to know comparatively how much money was spent on psychological care to help Ben before embarking on a lifetime medical pathway that costs hundreds of thousands of dollars.

LadyBracknellsHandbagg · 12/05/2025 07:33

SilverTapz · 11/05/2025 22:49

I wish I could link the photo here for those that want to see but I'm sure my thread would be deleted. I had no idea how horrific some of the outcomes are.

Please don’t, the thought of this barbarity is enough!

FlakyCritic · 12/05/2025 07:32

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??

Wrong! This here shows the lack of any research you've done. Many detransitioners were NOT told of the risks. One thought she (FTM) could just 'grow back' her breasts. Adults now who had their breasts chopped off at age 15 (California) are suing the surgeons. They could not give informed consent. A doctor at WPATH admitted ON...VIDEO, that the children could not give INFORMED consent. As well a what the PBs and testosterone would do to their eggs.

Putting aside the incidence of girls having their breasts chopped off at age 15 (13, at one case), you have adult males (MTF) who state on reddit, and I have screenshots of this saved, that they were NOT told of the risks to vaginaplasty, they weren't told of the smell, some said they were not told they would need to dilate so often during the day and for so long, they were not told in at least 4 cases I have saved that they wouldn't orgasm again or that it would be 'incredibly weak'.

It's very clear from your posts that you are utterly, deeply ill-informed. I know you want to mean well, but you are way out of your depth. You have absolutely no idea of what trans people themselves are saying. They are saying - adult ones too, that they were not told of the risks. Are you calling them liars? Well, are you?

LesserCelandine · 12/05/2025 07:30

There also seems to be an associated culture of documenting the surgeries/complications and egging each other on. It's always 'totally worth it' no matter how horrific it's got.

Remember there are also sites that egg people on to suicide. Not everyone on those sites will be genuine, some will be there to see how far they can push people.

Lardychops · 12/05/2025 07:30

HelenaWaiting · 12/05/2025 00:41

Surely if the NHS is spending hundreds of thousands of pounds on surgeries that have neither a medical nor an ethical basis it is every taxpayer's business? There has never been a meaningful debate about whether taxpayers should be asked to fund what are at best cosmetic procedures and at worst grotesque mutilation. Successful outcomes and medical necessity are important factors when decisions are made about whether or not to fund other complex surgical procedures.

Surely this isn’t available in the NHS??
Are we actually paying for this shit??

Seriestwo · 12/05/2025 07:29

UTI rates are more likely to be from testosterone - it makes the vaginal tissue menopausal and that shrivels all round the urethra too. It’s probably true they don’t go to the loo, but how much of that is anxiety because they know they are female and transgressing a social boundary by going into the men’s? And very few women have genital surgery, for all the reasons listed by PP. it doesn’t fucking work.

bigknitblanket · 12/05/2025 07:26

Someone told me the other day that trans people have very high rates of UTI because they don’t like going to the toilet in public places for fear of being picked on. I assume the real reason for lots of UTIs is down to botched surgeries?

Ferro · 12/05/2025 07:25

NaiceBalonz · 11/05/2025 23:29

Erectile devices were created for men who lost the ability to gain an erection due to age, or medication. So the vast majority of people with erectile devices are 'cis' men.

How many men in their 20s can't get an erection and need a device to help?

When they say "this operation will give you a penis" do they say it will be the floppy penis of a sad 80 year old, at best?

Seriestwo · 12/05/2025 07:24

They are doing this surgery at Chelsea and Westminster in London. It’s FGM, or rather, it would be but the women having it done are over 18 so the anti FGM legislation doesn’t protect them.

FlakyCritic · 12/05/2025 07:24

TheOriginalEmu · 12/05/2025 04:23

The absolute hysteria over trans people on this website is…I don’t know if it’s funny or just really sad. And it’s quite clear from the way replies are worded that most of the people responding don’t actually have a thought of their own, they just parrot back responses they’ve seen on this app.
Mumsnet used to be a great place to visit, but it’s totally jumped the shark these days.

I think it's not us that are unthinking. If you read the posts on here, you will read people who are will educated on this topic and have taken the time to read studies and research. On the other, you have the defenders 'oh, they know it won't work well, what about accidents, what about precocious puberty, what about....'. No thought, no education, no research, just defensive whataboutery. Which well and truly jumps the shark. In lieu on any actual meaty argument. Anyone reading this thread will see how well researched those of us are. And contrast with your 'what about, what about, what about' defensive denialism. I doubt you have even read one research study.

That's why I'm incredibly proud of our side. The depth of research, the strength of arguments. Deep down you know you cannot argue the same.

FOJN · 12/05/2025 07:24

493ruth · 12/05/2025 00:18

Do you often worry about whether strangers can orgasm?

I just wanted to highlight this response as an example of how activists try to shut down conversation.

If you are interested or concerned about the nature and/or success of this type of surgery you must be some kind of pervert and should be ashamed of yourself. Don't be fooled by it.

This surgery is very experimental and has a high complication rate, including death. We should be bothered that young people are being persuaded to have risky cosmetic surgery which does not achieve a good result.

FlakyCritic · 12/05/2025 07:20

TheOriginalEmu · 12/05/2025 04:19

Were you this concerned about puberty blockers for precocious puberty?

Again, false equivalence. Puberty blockers for precocious puberty are only given for a period of 6 months to a year. 2 years maximum. For trans children it is for as long as 6 years and at a higher dosage, hence the increased risk of Osteoporosis (PBs leak calcium) at age 24 and a myriad of other health problems such as narrowing of the spinal cord and lack of IQ/frontal cortex growth (stopping the natural growth hormones, naturally, is going to affect the physical and mental body).

FlakyCritic · 12/05/2025 07:17

TheOriginalEmu · 12/05/2025 04:16

It’s not different, because to s trans person there is something massively wrong with their body. A persons mental health is as much a medical reason as any other. We have been doing ‘cosmetic’ surgery for mental health reasons for a long time now.

There has been at least one documented person in recent (I say recent, I forget when but I believe it was in the last 20 years) times who wanted to be blind. And found a way to make themselves blind. Is that acceptable to you, or do you pick and choose what mental health condition is worthy of defence? There is also someone who wanted to have their leg amputated, again, in recent times, and had that happen. Now I am sure someone like you as an amputee not of your choice feels aghast at that.

Then there was the deaf couple who were determined that they would only have a deaf child.

I mean, how far do you take this? Wouldn't it be better to not fix mental health by chopping off limbs and body parts? I genuinely believe if we could bring back asylums or at least have people admitted to psychiatric hospitals more efficiently, we could help these people get better in a way that doesn't see them chopping off limbs and body parts to fix a mental illness.

TheIceBear · 12/05/2025 07:14

Tinseltuttifruitti · 12/05/2025 06:07

https://www.nytimes.com/2022/05/10/magazine/phalloplasty.html?unlocked_article_code=1.Gk8.9PvW.9aqXAXtdyIEx&smid=url-share

This article presents a rosy view but explains the mechanics well. I read it a while ago and found it very sad, worth reading to the end.

This is really sad, sad that someone is so uncomfortable with their own body that they would go through with this. It seems like it is such a complicated operation. It really is drastic measures. It must cost a fortune as well as several procedures are needed.