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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!

OP posts:
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Nameychangington · 11/05/2025 22:57

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.)

Or we could ask someone like transman Scott Newgent who's had one:

https://www.genderdysphoriaalliance.com/post/meet-scott-newgent

Interview: Scott Newgent

Scott NewgentInterview by ASSOCIATION FOR THE DEFENCE OF CHILDREN'S RIGHTS - CONSULTANT TO THE UN ECONOMIC AND SOCIAL COUNCILScott, thank you very much for answering our questions. The French public is very grateful for the opportunity to benefit from...

https://www.genderdysphoriaalliance.com/post/meet-scott-newgent

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.

pancakestastelikecrepe · 11/05/2025 22:56

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.)

Do you have a citation, please? OP has named her sources...

Nameychangington · 11/05/2025 22:55

No. There is no way to make them work for sex as you can't replicate erectile tissue, and there's no way to make them work for peeing as women's urethras are shorter than men's and so you have to lengthen the urethra, which is impossible as it is made from unique tissue in order to not burn through from being exposed to uric acid all the time so the grafts always fail.

If you are tech savvy and know how to access the kiwi farms there are many horrifying receipts there. If not there is academic info here: https://statsforgender.org/category/medical-transition/

Medical transition Archives - Stats for Gender

https://statsforgender.org/category/medical-transition/

SilverTapz · 11/05/2025 22:54

This reply has been deleted

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

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.)

SlipperyLizard · 11/05/2025 22:52

It is barbaric, and the surgeons who perform it should be jailed.

I’ve never seen anyone post videos without multiple complications/revision surgeries, and the hideous state that the skin donor site is left in should alone be a sign that only someone with very serious mental health issues would think it was a good thing to do to their body.

leopardprint17 · 11/05/2025 22:51

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.

Could you post the page/thread name?

SilverTapz · 11/05/2025 22:49

moogdroog · 11/05/2025 22:45

No, they never work. The goal seems to be standing to pee, which very few of them actually achieve.
Without complications, it's a multi- surgery process (maybe 5?), but of course, it's riddled with complications and many of these women get stuck in a surgery doom-loop.
There have been deaths associated with phallo, and many are left incontinent or with fistula, not to mention the necessary sacrifice of arm, leg, back and cheek tissue.
It is monumental self harm.

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.

OP posts:
moogdroog · 11/05/2025 22:45

No, they never work. The goal seems to be standing to pee, which very few of them actually achieve.
Without complications, it's a multi- surgery process (maybe 5?), but of course, it's riddled with complications and many of these women get stuck in a surgery doom-loop.
There have been deaths associated with phallo, and many are left incontinent or with fistula, not to mention the necessary sacrifice of arm, leg, back and cheek tissue.
It is monumental self harm.

RareGoalsVerge · 11/05/2025 22:44

Yes it's cosmetic, not functional.

I don't believe it it likely that orgasm would usually be possible. For some, if enough clitoral nerve endings are saved, there might be a chance. I don't suppose the research has been done to find the magnitude of that chance.

In theory, once the scars from the initial surgery have healed, and if there are no infections or other side effects, a follow-up surgery can take place to provide an artificial insert that creates an "erection" functionality.

floormops · 11/05/2025 22:39

No.

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