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
Lovelysummerdays · 11/05/2025 23:37

Lardychops · 11/05/2025 23:14

It needs to be ‘pumped up’
Manually with a pump ??
Christ on a bike …

I think it’s internal so you press a spot multiple times and it slowly inflates. Then again to deflate.

Seethlaw · 11/05/2025 23:36

Phalloplasty certainly doesn't work well enough for me to ever consider getting one. I don't fancy being a guinea pig for what is still very much an experimental surgery.

BelfastBard · 11/05/2025 23:33

Lardychops · 11/05/2025 23:19

I’ve been googling ..
how on earth are doctors allowed to perform these Mengale-esque operations?

Because trans activists infiltrated once respected medical institutions and convince people that trans people would take their own lives if not able to access these surgeries.
Young people sucked into the contagion also came to believe they’d end up suicidal if prevented from having them.
So a potent mix of it being a very profitable surgical industry and the (now disproven) suicide narrative.

Lovelysummerdays · 11/05/2025 23:32

I have heard trans men used as a gotcha, would you want a trans man with a erection in the next hospital bed type stuff. I ‘d think with the complication rate being so high they are probably in due to neo penis being infected or failing in some way.

It’s pretty rare that it goes ok and not everyone goes with the inflatable option as thst can cause complications too.

It sort reminds me of playing blackjack and going for a five card trick. Odds aren’t great and have to decide whether to stick or twist.

Sharkknife · 11/05/2025 23:30

Oh wow, the arms look like severe trauma victims!

Mistyglade · 11/05/2025 23:30

I just had a look too and wish I hadn’t. How doing that to oneself can be characterised as an affirming experience I struggle not to get upset thinking about.

NaiceBalonz · 11/05/2025 23:29

Lardychops · 11/05/2025 23:26

I cannot see how anyone would think that in anyway would make them appear manly or masculine or ‘feel’ like a man. Especially doing that with sexual partner in the room anticipating intercourse.

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.

Helleofabore · 11/05/2025 23:28

FionnulaTheCooler · 11/05/2025 23:27

I believe there is an alternative surgery called metoidoplasty that uses existing clitoral tissue to create a sort of micropenis which is capable of becoming erect and would actually have some sexual sensation, unlike the flesh tubes created with phalloplasty.

Yes, I have heard this.

But it is like a micro penis. So, again, it is not functioning like a fully developed penis at all.

NaiceBalonz · 11/05/2025 23:27

Some do, some don't.

Some who have them are able to stand to urinate, orgasm, most are able to pass in changing rooms etc. Some have a list of complications.

Whether they 'work' isn't the correct question, imo, it should be whether they improve quality of life. In most cases I believe it does.

SilverTapz · 11/05/2025 23:27

glittercunt · 11/05/2025 23:24

Most work. Might not be organically done, but most work.

Some experience recovery issues.

You're more likely to hear about the ones which didn't have the desired result, as people in those groups are more likely to talk about something they need support or reassurance over, than things which have gone right.

They don't remove muscle feom arms. Just skin. It's effectively a skin graft.

The important thing here is, it's a person's choice what they do or don't do with their body. You might not like it but it's not your body.

I don't know. People detransitioning who had surgery in their 20s have different opinions, especially if they had major surgery to alter their bodies. I don't think it's as simple Z 'your body your choice'. There's something seriously wrong here.

OP posts:
FionnulaTheCooler · 11/05/2025 23:27

Helleofabore · 11/05/2025 23:20

yes.

There is no way to replicate erectile tissue and the nerves to recreate a reaction.

So, to emulate an erection, it needs a pump mechanism.

I believe there is an alternative surgery called metoidoplasty that uses existing clitoral tissue to create a sort of micropenis which is capable of becoming erect and would actually have some sexual sensation, unlike the flesh tubes created with phalloplasty.

Lardychops · 11/05/2025 23:26

Helleofabore · 11/05/2025 23:20

yes.

There is no way to replicate erectile tissue and the nerves to recreate a reaction.

So, to emulate an erection, it needs a pump mechanism.

I cannot see how anyone would think that in anyway would make them appear manly or masculine or ‘feel’ like a man. Especially doing that with sexual partner in the room anticipating intercourse.

glittercunt · 11/05/2025 23:24

Most work. Might not be organically done, but most work.

Some experience recovery issues.

You're more likely to hear about the ones which didn't have the desired result, as people in those groups are more likely to talk about something they need support or reassurance over, than things which have gone right.

They don't remove muscle feom arms. Just skin. It's effectively a skin graft.

The important thing here is, it's a person's choice what they do or don't do with their body. You might not like it but it's not your body.

Helleofabore · 11/05/2025 23:23

SquashedMallow · 11/05/2025 23:20

It's sad that these people will butcher their bodies to achieve a non functioning caricature of a penis (same with the reverse surgery) I saw a transwoman on a programme who's "neo vagina" looked like a butchered stitched up scrotum with a "line in the middle" like a child had sculpted. It's multilation.

If I fell in love with someone (yes I'd make an exception for you Aydian Dowling ! - Google people !) I'd rather accept they had a vagina and work with it than see a butchered surgical pretend penis.

It is also well documented that these operations are very problematic too.

If the penis and testicles are splayed and inverted, there is potential for hair to grow inside the cavity. And the reports from those who opt to have a section of their colon or intestine used, the smell apparently is very concerning.

Helleofabore · 11/05/2025 23:20

Lardychops · 11/05/2025 23:14

It needs to be ‘pumped up’
Manually with a pump ??
Christ on a bike …

yes.

There is no way to replicate erectile tissue and the nerves to recreate a reaction.

So, to emulate an erection, it needs a pump mechanism.

SquashedMallow · 11/05/2025 23:20

It's sad that these people will butcher their bodies to achieve a non functioning caricature of a penis (same with the reverse surgery) I saw a transwoman on a programme who's "neo vagina" looked like a butchered stitched up scrotum with a "line in the middle" like a child had sculpted. It's multilation.

If I fell in love with someone (yes I'd make an exception for you Aydian Dowling ! - Google people !) I'd rather accept they had a vagina and work with it than see a butchered surgical pretend penis.

Lardychops · 11/05/2025 23:19

I’ve been googling ..
how on earth are doctors allowed to perform these Mengale-esque operations?

SilverTapz · 11/05/2025 23:16

Helleofabore · 11/05/2025 23:10

Since if they are to emulate an erection they have to be pumped up (some opt not to have the pump so will not have erection function) then I guess the answer is no.

Considering the very high % of failures and the high % of future bladder issues, it is hard to understand if these female patients really are getting the honest risk assessment from their clinicians and their surgeons.

Plus, the long term pain and danger due to lack of feeling on the arms associated with the stripping of the arm skin and muscle layers have been well discussed too.

One person has posted a photo of their arm, and has had to go to a&e because the skin is sloughing off it and their tendon has gone black. It looks so dangerous, and sore. I just don't understand how it's ok to do this to people in their early 20s.

OP posts:
GargoylesofBeelzebub · 11/05/2025 23:15

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

Lardychops · 11/05/2025 23:14

Helleofabore · 11/05/2025 23:10

Since if they are to emulate an erection they have to be pumped up (some opt not to have the pump so will not have erection function) then I guess the answer is no.

Considering the very high % of failures and the high % of future bladder issues, it is hard to understand if these female patients really are getting the honest risk assessment from their clinicians and their surgeons.

Plus, the long term pain and danger due to lack of feeling on the arms associated with the stripping of the arm skin and muscle layers have been well discussed too.

It needs to be ‘pumped up’
Manually with a pump ??
Christ on a bike …

Helleofabore · 11/05/2025 23:10

Since if they are to emulate an erection they have to be pumped up (some opt not to have the pump so will not have erection function) then I guess the answer is no.

Considering the very high % of failures and the high % of future bladder issues, it is hard to understand if these female patients really are getting the honest risk assessment from their clinicians and their surgeons.

Plus, the long term pain and danger due to lack of feeling on the arms associated with the stripping of the arm skin and muscle layers have been well discussed too.

SilverTapz · 11/05/2025 23:10

ThatOpenSwan · 11/05/2025 22:52

Mumsnet is such a sensible place to ask this question, well known as it is as a bastion of level-headed, well-informed trans healthcare advice. I'm sure you'll get some illuminating answers coming from a place of genuine knowledge, OP, which I'm also sure is what you're looking for with this wonderfully good faith question.

(Yes of course they work, trans men aren't mindless idiots and are capable of weighing up risks and benefits.)

I've found women on Mumsnet to be incredibly well read and informed about this type of thing. It clearly differs from your opinion, however my question arose from what I have seen, and it isn't pretty. It's scary. I would be incredibly concerned if my daughter was considering it.

OP posts:
Radionowhere · 11/05/2025 23:02

No. It's horrific.

Lardychops · 11/05/2025 23:02

ThatOpenSwan · 11/05/2025 22:52

Mumsnet is such a sensible place to ask this question, well known as it is as a bastion of level-headed, well-informed trans healthcare advice. I'm sure you'll get some illuminating answers coming from a place of genuine knowledge, OP, which I'm also sure is what you're looking for with this wonderfully good faith question.

(Yes of course they work, trans men aren't mindless idiots and are capable of weighing up risks and benefits.)

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

Blimey - I didn’t know that tbf-
every days a learning day on here

SilverTapz · 11/05/2025 23:01

moogdroog · 11/05/2025 22:57

It is barbaric and the antithesis of 'first, do no harm'.
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.
For a deep dive, I recommend Exculansic who has done a series called the Phalloplasty Philes - she's been banned from TikTok and YouTube but I think her videos are on Odysee.

Yes that's what I found shocking. Looking at a piece of flesh which is black and necrosing but people commenting 'but look how amazing the base looks though'. I would be terrified if I looked down and that's what I had been left with. I'm really not trying to be goady, I'm just very, very concerned. I don't know why I thought it would be anything different, I just wasn't expecting that.

OP posts:
Swipe left for the next trending thread