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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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LesserCelandine · 13/05/2025 08:31

Most harassment to men and girls isn't coming from men dressed as women. That's almost irrelevant to the issue.

This is the prosecutors fallacy; because the risk of sharing a space with a trans identified man is small the risk from trans identified men is also small. But the fact that the overall number of trans identified men is small is irrelevant once you are sharing that space - at that point the only relevant statistic is the risk from a trans identified man, and the risk of being sexual assaulted is then between four and nine times higher than for other men. Though you don’t need to be sexually assaulted to be harassed; ignoring your boundaries and your privacy and dignity by entering a female only space and turning it mixed sex without your consent will already be enough.

MyOliveHelper · 13/05/2025 08:31

FlakyCritic · 13/05/2025 08:25

You got that from what I said?

I said that people who think they can change their sex are mentally ill. People who want bigger breasts don't think they can change their sex, hence are not mentally ill.

So you're only mentally ill if you want to change your sex, but not if you want size M boobs through surgery. Righty oh.

FlakyCritic · 13/05/2025 08:30

MyOliveHelper · 13/05/2025 08:08

Many people think cosmetic surgery will do the impossible. Trans people aren't alone on that whatsoever.

They don't actually think it will actually change their SEX though.

FlakyCritic · 13/05/2025 08:30

MyOliveHelper · 13/05/2025 08:06

Labioplasty for one. Doesn't reroute the urinary system but risks major damage to tissue and nerves in that area. Breast implants. The various body modification procedures one can consent to legally which can involve nullification of the genitalia. The various fillers and things you can have injected into you all have risks. Major risks.

There is no logical basis to being against these surgeries on trans people, but legal and fine for your young adult daughter.

The issue is the reason either group wants it done. One wants it for beauty reasons, the other out of mental illness because they think they can change sex. It's about the motive and reason.

MyOliveHelper · 13/05/2025 08:30

FlakyCritic · 13/05/2025 08:26

I see absolutely no anti-trans arguments here, only feminist ones.

Whereas your posts are all anti-feminist and pro-men and pro mutilation.

Edited

If you think that, you haven't read any of my posts on these issues on the site. I'm against the problematic issues, not the people. That seems to be the difference. And I'm involved with these issues on quite a big scale too.

Saying that I'm "pro-mutilation" in this context is so far from the truth, that it just proves my point.

FlakyCritic · 13/05/2025 08:26

MyOliveHelper · 13/05/2025 08:01

Yes I do think that. And no I don't think that just not liking trans people = feminism. It has to be more than that. I don't see any feminist arguments here. I see anti-trans arguments. A feminist argument would encompass all women. Not just trans people.

I see absolutely no anti-trans arguments here, only feminist ones.

Whereas your posts are all anti-feminist and pro-men and pro mutilation.

FlakyCritic · 13/05/2025 08:25

MyOliveHelper · 13/05/2025 07:53

So ss long as the deluded person doesn't think they're a man, you don't care what surgeries they have?

Again clearly about hating trans people over worry for the mental and physical health of other humans.

You got that from what I said?

I said that people who think they can change their sex are mentally ill. People who want bigger breasts don't think they can change their sex, hence are not mentally ill.

MyOliveHelper · 13/05/2025 08:22

borntobequiet · 13/05/2025 08:19

You are talking about different levels of “impossible”. Thinking that a boob job will make you more attractive, and happier, is one thing. Thinking a double mastectomy will turn you into a man is another thing entirely, a material impossibility.

Of course, in either case, the person who undergoes the procedure may or may not feel happier as a result, and may or may not suffer ill effects as a result of the surgery. But neither will change sex, though one might expect to.

The main difference is that the one that thinks they have changed sex (in either direction) now thinks that they are entitled to claim the rights of the opposite sex, which in the case of a transwoman, can impact adversely on women.

So your issue is about people thinking they've changed sex, not the consent and capacity problems?

MyOliveHelper · 13/05/2025 08:21

borntobequiet · 13/05/2025 08:11

The discussions on here fall into three main categories:

  • How to preserve and implement the rights of women, and points of law
  • How to protect children and vulnerable people from undergoing unnecessary and damaging medical interventions
  • Accounts of the harassment and abuse of women and girls, and what can be done to stop it

None of these are “arguments against trans people”.

Most harassment to men and girls isn't coming from men dressed as women. That's almost irrelevant to the issue.

The surgeries have little impact on the rights of women - in fact, you could argue allowing them would respect that women have the right to destroy themselves as they wish.

I'd focus purely on the individual mental capacity of people to consent to such surgery. That's where the ethical issues lie.

borntobequiet · 13/05/2025 08:19

MyOliveHelper · 13/05/2025 08:08

Many people think cosmetic surgery will do the impossible. Trans people aren't alone on that whatsoever.

You are talking about different levels of “impossible”. Thinking that a boob job will make you more attractive, and happier, is one thing. Thinking a double mastectomy will turn you into a man is another thing entirely, a material impossibility.

Of course, in either case, the person who undergoes the procedure may or may not feel happier as a result, and may or may not suffer ill effects as a result of the surgery. But neither will change sex, though one might expect to.

The main difference is that the one that thinks they have changed sex (in either direction) now thinks that they are entitled to claim the rights of the opposite sex, which in the case of a transwoman, can impact adversely on women.

borntobequiet · 13/05/2025 08:11

MyOliveHelper · 13/05/2025 08:03

No it suggests that your hypocritical arguments against trans people are transparent and weak and you should up your game if you want to have any real impact on this social issue.

The discussions on here fall into three main categories:

  • How to preserve and implement the rights of women, and points of law
  • How to protect children and vulnerable people from undergoing unnecessary and damaging medical interventions
  • Accounts of the harassment and abuse of women and girls, and what can be done to stop it

None of these are “arguments against trans people”.

MyOliveHelper · 13/05/2025 08:08

borntobequiet · 13/05/2025 08:01

Their delusion that the pp was referring to is thinking that this cosmetic surgery will do the impossible, and turn them into someone of the opposite sex, which is of a different order than the expectations of more conventional cosmetic surgery, hence more concerning.

Many people think cosmetic surgery will do the impossible. Trans people aren't alone on that whatsoever.

MyOliveHelper · 13/05/2025 08:06

borntobequiet · 13/05/2025 08:03

Which ones?

Labioplasty for one. Doesn't reroute the urinary system but risks major damage to tissue and nerves in that area. Breast implants. The various body modification procedures one can consent to legally which can involve nullification of the genitalia. The various fillers and things you can have injected into you all have risks. Major risks.

There is no logical basis to being against these surgeries on trans people, but legal and fine for your young adult daughter.

Blueredyellowgreen · 13/05/2025 08:06

borntobequiet · 13/05/2025 08:01

Their delusion that the pp was referring to is thinking that this cosmetic surgery will do the impossible, and turn them into someone of the opposite sex, which is of a different order than the expectations of more conventional cosmetic surgery, hence more concerning.

Having looked at pictures, you'd need to be suffering severe body dysmorphia to do that to yourself. Of course its not a working penis. Are there no regulations for these surgeons. Lopping off healthy breast tissue, butchering arms, using colons for fake vaginas. It's like Mary Shelley's story. Immensely sad.

MyOliveHelper · 13/05/2025 08:03

FOJN · 12/05/2025 10:40

Just highlighting another manipulative tactic of the activists.

.....stopping trans people from existing....

The language suggests that anyone questioning gender ideology is motivated by bigoted attitudes which lead to genocidal intentions. It's deliberate. You wouldn't want to have something in common with the Nazis, would you?

It's manipulative and childish. Questioning whether radical body modification, which creates lifelong medical patients, is the most effective treatment for the mental health condition gender dysphoria does not make you an advocate for genocide and you should not take anyone who uses this argument seriously.

No it suggests that your hypocritical arguments against trans people are transparent and weak and you should up your game if you want to have any real impact on this social issue.

borntobequiet · 13/05/2025 08:03

MyOliveHelper · 13/05/2025 07:55

Many of these surgeries need to do similarly drastic steps to achieve the goal.

Which ones?

borntobequiet · 13/05/2025 08:01

MyOliveHelper · 13/05/2025 07:53

So ss long as the deluded person doesn't think they're a man, you don't care what surgeries they have?

Again clearly about hating trans people over worry for the mental and physical health of other humans.

Their delusion that the pp was referring to is thinking that this cosmetic surgery will do the impossible, and turn them into someone of the opposite sex, which is of a different order than the expectations of more conventional cosmetic surgery, hence more concerning.

MyOliveHelper · 13/05/2025 08:01

FlirtsWithRhinos · 12/05/2025 11:57

Wow - lot of projection going on in that post. Do you really think feminist women who raise concerns about the many ways the sexist concept of gender identity is harmful to women and children (and also men by the way) are going to be people who are on board with 23-year old having botox? Half of us don't even shave our legs for God's sake 😂

I think this is one you may need to educate yourself about.

Honestly I thought you were genuine at first and agreed you had a point, but the later posts have made it clear you don't care about those girls either, it's just the usual TRA "throw in anything that might work to delegitimise criticism of trans choices"

Yes I do think that. And no I don't think that just not liking trans people = feminism. It has to be more than that. I don't see any feminist arguments here. I see anti-trans arguments. A feminist argument would encompass all women. Not just trans people.

MyOliveHelper · 13/05/2025 07:55

FlakyCritic · 13/05/2025 02:46

How can you be so wilfully ignorant? It is a LOT different! It re-routes the urinary system for one.

And wanting to change your looks for beauty reasons are completely different from being so mentally ill that you think you're the opposite sex.

Edited

Many of these surgeries need to do similarly drastic steps to achieve the goal.

MyOliveHelper · 13/05/2025 07:53

FlakyCritic · 13/05/2025 02:15

Um.... they don't actually think they're not women.

That's the difference.

So ss long as the deluded person doesn't think they're a man, you don't care what surgeries they have?

Again clearly about hating trans people over worry for the mental and physical health of other humans.

Outofthebluemonday · 13/05/2025 06:59

NautilusLionfish · 12/05/2025 09:54

I put a link to two metareviews earlier. The second link talks of voiding while standing (i.e. peeing standing) being most successful outcome at 92% . I have pasted it here again and highlighted it for you @StellaAndCrow Am not sure if the rate of complications is higher than other surgeries but again, hard to compare surgeries (And in this case, hard to say what is lifesaving surgery as some trans people will say such a surgery saved their life (or will save it) and I cannot disprove that)

https://pubmed.ncbi.nlm.nih.gov/29019859/

https://www.sciencedirect.com/science/article/abs/pii/S2050052122000129
database searching generated 39 final articles, with 19 case series, 3 cross-sectional studies, and 17 retrospective cohort studies. A total of 1731 patients underwent phalloplasty, with the most common type of reconstruction performed being the radial forearm free flap (75.1%). Overall complication rate was high at 76.5%, of which urethral complications were high in all reconstructive subgroups (urethral fistula rate of 34.1% and urethral stricture rate of 25.4%). Postoperative functional outcomes were reported in 57.6% of patients, finding that most had tactile sensation (93.9%) and can void while standing (92.2%). Aesthetic outcomes were only reported in 6.3% of patients, with mean length achieved being 12.26 cm (SD = 0.81 cm) and mean circumference being 10.18 cm (SD = 3.69 cm).

think the patients are being experimented on by surgeons ….

akkakk · 13/05/2025 05:55

TheKeatingFive · 12/05/2025 23:07

If it doesn't do those things, it's malfunctioning, right?

So is this what these girls are actually looking for? A malfunctioning penis?

For something to be malfunctioning it must originally have functioned… a malfunctioning car engine was once working as a car engine, if it never did that it is simply a block of metal.

so, no the end result is not a malfunctioning penis - it is a tube of flesh trying to give a visual appearance of a penis…

it has never been a penis, never had the function of a penis, will never be a penis. In an era of returning to honesty and removing obfuscation - as a man I would like to reclaim the word (not quite sure I want to wear equivalent t-shirts to the brilliant women ones though!) a penis is only ever something that starts life on a male (boy/man) it is not a distorted piece of flesh made from parts of a woman.

this whole discussion is about returning to honesty and biological reality - a woman can’t have a penis, never will; in exactly the same way that a man can’t have a vagina / can’t be a woman… 😉

TempestTost · 13/05/2025 03:11

GarlicPile · 12/05/2025 19:53

Unusually, I agree with Olive on this - in a generalised sense, at least. It's a surgical culture of "Be your best self!" when your best and even your self are fully predicated on how you look - to yourself or others.

Shallow doesn't even come close to what this is: it reduces people to sets of body parts. With older women in the public eye, for instance, you can often identify how they've stopped seeing their own faces and had a blepharoplasty here, a cheek lift there and so on, with no awareness of how the whole face now works as a whole.

Men are increasingly having penis enlargement surgeries, ffs, on perfectly average organs, and six-pack implants.

The physical risks of all these surgeries are quite high, though not as frightening as the 1 in 2 risk of severe complications to GRS. The psychological risks, I would surmise, are at least as high.

Yeah, I don't think we can really separate the acceptance of "gender-affirming" surgeries from the general acceptance now of cosmetic procedures of all kinds.

It's odd because it's so out of line with self-acceptance language.

Medically, cosmetic surgery has always been considered questionable from a medical ethics standpoint. Personally I don't think it's compatible - I don't think doctors should be allowed to do it at all. If anyone is it should be people who are not understood as medical practitioners, and it should be clear that its nothing to do with health, and that it's high risk in many cases.

FlakyCritic · 13/05/2025 02:46

TheOriginalEmu · 12/05/2025 11:32

It’s no different to breast enlargements or nose jobs or labioplasty or any number of surgeries people have because they dislike how their body looks. Do you protest against those?

How can you be so wilfully ignorant? It is a LOT different! It re-routes the urinary system for one.

And wanting to change your looks for beauty reasons are completely different from being so mentally ill that you think you're the opposite sex.

FlakyCritic · 13/05/2025 02:32

peachgreen · 12/05/2025 10:25

Your first paragraph is a very good point, thank you. I still think it would be unfortunate if OP only asks these questions here, as it's not going to give her a range of views. But I do take your point about not invading trans people's space.

I asked the question because I was genuinely curious about the answer. OP might well have come back and said "actually I've also asked in X Y and Z spaces to get a range of views". Or she might have come back and said "I think phalloplasty is awful and actually what I wanted to do was talk about it in a place where I suspect my concerns will be shared". Both valid responses.

No you're not genuinely curious. You're trying to stop discussion. An AS of your name shows you are very pro-trans/anti-women and believe transwomen are women. Your own words in one post are that transwomen are women.

Stop the act.

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