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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!

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FlakyCritic · 12/05/2025 07:10

TheOriginalEmu · 12/05/2025 01:55

Well they might be informed on some issues, but not this one.
Sometimes with the aid of pumps etc you can get an erection after phaloplasty. Does it work the same as a cis man’s penis, no. But they CAN be functional.
Would you be this concerned if your son had need of reconstructive surgery after cancer or an accident?

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.

Here we go with the 'what if they had an accident' line. It jumps the shark there. There is a major difference - and you know this too, in having reconstruction surgery for something that was damaged via accident or illness, to deliberately damaging something to reconstruct it.

LizzieSiddal · 12/05/2025 07:08

WhitneyPooston · 12/05/2025 03:08

Trans people having these surgeries are aware of the risks, and the fact that the penis they end up with won’t function like a ‘real’ one. For some, the risk is worth it to not feel uncomfortable in their body whenever they go to the toilet, get undressed etc.

As a cis person I am grateful that I don’t have to weigh up the pros and cons of such a procedure, having a high-risk surgery with high rates of complications and lack of functionality vs. feeling so awful in my own skin that it’s unbearable to look at myself in a mirror.

Many of my trans friends have had top surgery (self funded in most cases) but won’t have a phallopasty due to the risks (some of which you’ve seen yourself). It’s such a personal thing and I feel sad for people born with gender dysphoria, because to most people the risks are just way too high to ever consider it.

Would also recommend a hobby that doesn’t involve looking at random strangers’ genitals on Reddit.

So people should keep quiet about a medical procedure which results in 70% complication rate?

Maye you should educate yourself on what the women of MN have helped to achieve over the past few years- I’ll start by the highlighting of the horrors which were going on at the Tavistock clinic for children, which ended with it closing down as it was “UNSAFE” for children.
You’d have been on here telling us all to go and find another hobby. Well thank god we don’t listen to people like you.

NeelyOHara · 12/05/2025 07:02

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??

How do you know so much about it? Have you been offered them? Otherwise how on earth would you know? Odd.

jeaux90 · 12/05/2025 06:42

Of course they don’t “work” a penis has a very specific biological function. There are many trans men who don’t go through the procedure for exactly the many reasons stated on here. Absolute butchering.

myplace · 12/05/2025 06:39

Obviously the created genitals don’t function as well as homegrown original genitals. The function is less effective and the likelihood of complications is relatively high.

That’s ok, though isn’t it? Men can be incontinent and have erectile disfunction, too!

I think that’s how the argument goes for trashing perfectly serviceable body parts.

The first line of treatment for gender confusion has to be acceptance of a functional healthy body.

I can’t remember her name, but a young American documenting her phalloplasty journey died last year. She’d been very active on TikTok, triumphantly overcoming obstacles throughout her treatment, encouraging others to follow her lead. But the health issues got ever worse, she began to look and sound exhausted. Then she died.

PurpleAxe · 12/05/2025 06:24

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.

Ah "hysteria" that's a favourite, eh?

This website is predominantly made up of women, mothers, you know those people who care about children and who defend them.

We know who they currently need defending from. And are familiar with the accusations of hysteria, and the attempts at the dimunation of our relevance and importance.

As a PP says, that bullshit doesn't fly anymore. So shove your hysteria up your arse and live with the fact that women, actual women, will always, rather annoyingly be in the fucking way.

Sure, some have drunk your weird arse kool aid, but most of us have not.

fost · 12/05/2025 06:18

This reply has been deleted

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

If this is the one where you say the tip has 'turned black' then you don't need to worry on that front... the skin was taken from the lower abdomen, which was tattooed. The black is just ink.

He says in some of his posts that he will be having further surgery, so the hole will be dealt with then.

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.

JoeGargery · 12/05/2025 06:01

Not phalloplasty but this short came up with experiences of trans women undergoing SRS - their experiences are painful and lifelong and it’s clear they feel they weren’t prepared for the realities.

www.facebook.com/share/v/16Dwc6oKKa/?mibextid=wwXIfr

miraxxx · 12/05/2025 05:22

TheOriginalEmu · 12/05/2025 04:19

Were you this concerned about puberty blockers for precocious puberty?

Ah, here it comes. I had missed this. You can only win with this argument with the thoroughly ignorant. Not here.

miraxxx · 12/05/2025 05:20

akkakk · 12/05/2025 04:55

It is mutilation of a functioning body to surgically respond to a mental issue (body dysmorphia)

it is not reconstructive surgery for a damaged body…

Exactly. It is this kind of sleight of hand argument that needs to be nailed. It is effectively lying. They do the same with puberty blocking drugs used to help kids with precocious puberty (necessary short-term treatment even with the serious and acknowledged side effects) and the same drugs used in healthy children with gender dysphoria (chasing a cosmetic aim with terrible side effects, a really malevolent medical malpractice).

NeverEndingSnorey · 12/05/2025 05:02

I wouldn’t want a penis. Working or otherwise, and especially not with balls. Ugly things at the best of times. I don’t think I could get used to bollocks. Fortunately I don’t want them, must be very difficult for those that do.

Offeritup · 12/05/2025 04:55

TheOriginalEmu · 12/05/2025 04:19

Were you this concerned about puberty blockers for precocious puberty?

Well precocious puberty is halted temporarily and then the child goes through puberty as normal.

As the previous poster rightly indicated, puberty blockers for gender dysphoria cause the inability to orgasm - and god knows what other brain issues due to not going through puberty as normal. There's massive brain development at puberty - mess around with that at your (or your child's) peril.

akkakk · 12/05/2025 04:55

TheOriginalEmu · 12/05/2025 01:55

Well they might be informed on some issues, but not this one.
Sometimes with the aid of pumps etc you can get an erection after phaloplasty. Does it work the same as a cis man’s penis, no. But they CAN be functional.
Would you be this concerned if your son had need of reconstructive surgery after cancer or an accident?

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.

It is mutilation of a functioning body to surgically respond to a mental issue (body dysmorphia)

it is not reconstructive surgery for a damaged body…

miraxxx · 12/05/2025 04:54

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.

Sorry the fingerwagging lectures no longer work.

miraxxx · 12/05/2025 04:36

Outofthebluemonday · 11/05/2025 23:51

Some years ago, my Uni professor covered “sex change” very thoroughly in lectures. He had some videos of interviews with sex change patients. First hand discussions of expectations and actual outcomes. The focus was on the surgeries of genitals … not so much on hormones, facial changes, voice.

Very much doubt this could be discussed in this manner today.

Im certain there have been many miraculous improvements in surgery since my Uni, but the images of female to male surgery with details was not comfortable viewing. Many surgeries required. The penis could only become erect with a pump or other mechanics (obviously). Incontinence and leakage/dribbling can be an issue. Was left with the impression it was a symbolic penis & not a magic-wand “real” one. The clitoris is moved to penis and hopefully still works.
The male to female … they get a vagina, but it needs maintenance and lube.

It’s not like having a my vag, nothing like my dude’s penis. It’s a whole different lived experience.

Heavily discussed was expectations and outcomes. Living with new medical issues, infections, urinary incontenance & upkeep of new parts. It was noted that rates of depression and suicide were quite high post surgery.

The panel was “Average” people, and a clinical discussion - not the influencer types you would see today.

The science hasnt changed much but what has changed is the ideological stance in the medical establishment that such surgery is life saving and never to be critically analysed. I tend to the view that the greatest victims in such ideological capture are trans people themselves. The post surgery depression and unhappiness points to it.

miraxxx · 12/05/2025 04:29

It is a medical scandal of course which is why anyone discussing it critically needs to be banned from the internet. Trans people may have existed from ages ago but apart from castration, there was no medical intervention offered to them. It is only from the 1930's that frankenstein surgeries were attempted and these days offered as standard medical "care" together with a shitload of synthetic hormones. The effect of testosterone on female biology is something else.

TheOriginalEmu · 12/05/2025 04:26

Gettingbysomehow · 12/05/2025 01:11

This is why it pisses me off when children are told "you can be whatever gender you want". No you can't and they are never told about the awful risks.

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??

TheOriginalEmu · 12/05/2025 04:23

sadmillenial · 12/05/2025 02:24

this is the most reasonable response i think ive read of a thread of this kind on mumsnet, thank you

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.

TheOriginalEmu · 12/05/2025 04:19

sashh · 12/05/2025 03:44

Yes.

Because taking puberty blockers can stop you from ever orgasming. I don't think a child who has never experienced an orgasm can consent to never having one.

No they don't 'work' they can look a bit like penis but that is as close as it gets.

Were you this concerned about puberty blockers for precocious puberty?

TheOriginalEmu · 12/05/2025 04:16

BelfastBard · 12/05/2025 02:35

Surely the repair or reconstruction of body parts as a result of illness or injury is vastly different to the removal of healthy, functional body parts?
A phalloplasty is essentially a cosmetic procedure which, statistically is likely to cause significant complications. There is no good medical reason to conduct such an extreme surgery on an otherwise healthy body.

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.

sashh · 12/05/2025 03:44

493ruth · 12/05/2025 00:18

Do you often worry about whether strangers can orgasm?

Yes.

Because taking puberty blockers can stop you from ever orgasming. I don't think a child who has never experienced an orgasm can consent to never having one.

No they don't 'work' they can look a bit like penis but that is as close as it gets.

WhitneyPooston · 12/05/2025 03:08

Trans people having these surgeries are aware of the risks, and the fact that the penis they end up with won’t function like a ‘real’ one. For some, the risk is worth it to not feel uncomfortable in their body whenever they go to the toilet, get undressed etc.

As a cis person I am grateful that I don’t have to weigh up the pros and cons of such a procedure, having a high-risk surgery with high rates of complications and lack of functionality vs. feeling so awful in my own skin that it’s unbearable to look at myself in a mirror.

Many of my trans friends have had top surgery (self funded in most cases) but won’t have a phallopasty due to the risks (some of which you’ve seen yourself). It’s such a personal thing and I feel sad for people born with gender dysphoria, because to most people the risks are just way too high to ever consider it.

Would also recommend a hobby that doesn’t involve looking at random strangers’ genitals on Reddit.

BelfastBard · 12/05/2025 02:35

TheOriginalEmu · 12/05/2025 01:55

Well they might be informed on some issues, but not this one.
Sometimes with the aid of pumps etc you can get an erection after phaloplasty. Does it work the same as a cis man’s penis, no. But they CAN be functional.
Would you be this concerned if your son had need of reconstructive surgery after cancer or an accident?

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.

Surely the repair or reconstruction of body parts as a result of illness or injury is vastly different to the removal of healthy, functional body parts?
A phalloplasty is essentially a cosmetic procedure which, statistically is likely to cause significant complications. There is no good medical reason to conduct such an extreme surgery on an otherwise healthy body.

sadmillenial · 12/05/2025 02:24

TheOriginalEmu · 12/05/2025 01:55

Well they might be informed on some issues, but not this one.
Sometimes with the aid of pumps etc you can get an erection after phaloplasty. Does it work the same as a cis man’s penis, no. But they CAN be functional.
Would you be this concerned if your son had need of reconstructive surgery after cancer or an accident?

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.

this is the most reasonable response i think ive read of a thread of this kind on mumsnet, thank you