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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
nauticant · 12/05/2025 09:58

To get a discussion going, to invite different views, to increase awareness.

Are you a bot?

monkeyspaw · 12/05/2025 09:58

peachgreen · 12/05/2025 09:45

OP, can I ask what made you decide to ask this question on Mumsnet? Would it not have been better to ask a forum where there are likely to be some actual trans men who might have lived experience in the area? What kind of answers were you hoping for by posting the question on a forum that is known for being majority gender critical?

Kindly, if you go to a transmen forum (I presume you mean Preddit) you will not get anything approaching honesty about what is really involved, and what the real outcomes are. Apart from the fact that there is a terrible circle jerk effect of "mine didn't work and I'm now disabled but it's still SO GREAT/yours will so you should deffo do it" any women (transmen) trying to post about poor outcomes are either downvoted to extinction, or their posts are deleted for transphobia.

On mumsnet there are women who know a lot about the terrible costs of this, and many have daughters or relatives who have been thrown into this meatgrinder of troubled girls/women.

BundleBoogie · 12/05/2025 09:59

peachgreen · 12/05/2025 09:54

Asking the question? It's not a problem at all. But I'm still not sure what made OP think that Mumsnet was the right place to ask it, rather than forums where people who have had this kind of surgery might actually be.

If I wanted to understand why people undergo breast reduction surgery and their experiences of doing so, I would ask on a forum for women who have had breast reduction surgery, not a forum of men who are noted for their negative opinions towards woman who want breast reduction surgery.

But if the forum of women who had breast reduction surgery was heavily policed by activists and bullies so the women couldn’t speak freely about the negative issues they’d suffered, would it be helpful?

Also if the women were gaslit and brainwashed to think they were the only ones suffering and to put aside their suffering for the greater good because breast reduction surgery must be promoted at all costs you’re not going to get an objective answer.

peachgreen · 12/05/2025 09:59

It's interesting that you're all assuming I'm pro-phalloplasty. For the record, I'm not. But I still don't think Mumsnet is the place to ask very specific questions about phalloplasties like "do they work" and "can they orgasm". Surely those questions would be better asked to people who have had this surgery?

TheKeatingFive · 12/05/2025 09:59

The OP can ask what she wants on this forum, yes?

So next question

borntobequiet · 12/05/2025 10:00

peachgreen · 12/05/2025 09:54

Asking the question? It's not a problem at all. But I'm still not sure what made OP think that Mumsnet was the right place to ask it, rather than forums where people who have had this kind of surgery might actually be.

If I wanted to understand why people undergo breast reduction surgery and their experiences of doing so, I would ask on a forum for women who have had breast reduction surgery, not a forum of men who are noted for their negative opinions towards woman who want breast reduction surgery.

And yet people (mostly women, we know) post about their pets on MN rather than/as well as on pet forums, about DIY, Style and Beauty, work related issues, films and TV, mental health…

Why single out this topic as something that should be discussed elsewhere?

CautiousLurker01 · 12/05/2025 10:00

MyOliveHelper · 12/05/2025 09:05

I can very much believe that many of the people that tap away here have.daughtsrs with lip fillers and a boob job on the cards. Hilarious.

On the basis that neither of these are available on the NHS (and thus funded by the taxpayer), have little to no post procedure complications (and the costs of sorting them out if there are any is funded by the individual, so again not an issue for the taxpayer), and are also completely reversible, I’m not sure what your point is?

TheKeatingFive · 12/05/2025 10:00

peachgreen · 12/05/2025 09:59

It's interesting that you're all assuming I'm pro-phalloplasty. For the record, I'm not. But I still don't think Mumsnet is the place to ask very specific questions about phalloplasties like "do they work" and "can they orgasm". Surely those questions would be better asked to people who have had this surgery?

There are masses of vids on X and TikTok about this, it's all out there.

peachgreen · 12/05/2025 10:00

nauticant · 12/05/2025 09:58

To get a discussion going, to invite different views, to increase awareness.

Are you a bot?

A bot? No. I have a long posting history here.

peachgreen · 12/05/2025 10:00

TheKeatingFive · 12/05/2025 10:00

There are masses of vids on X and TikTok about this, it's all out there.

Indeed: so again, why ask on Mumsnet?

peachgreen · 12/05/2025 10:01

TheKeatingFive · 12/05/2025 09:59

The OP can ask what she wants on this forum, yes?

So next question

Indeed: but I can also ask what her motivations were for doing so.

peachgreen · 12/05/2025 10:03

BundleBoogie · 12/05/2025 09:59

But if the forum of women who had breast reduction surgery was heavily policed by activists and bullies so the women couldn’t speak freely about the negative issues they’d suffered, would it be helpful?

Also if the women were gaslit and brainwashed to think they were the only ones suffering and to put aside their suffering for the greater good because breast reduction surgery must be promoted at all costs you’re not going to get an objective answer.

I would certainly recommend also asking the question on a forum specifically for people who have detransitioned or have transition regret in order to get a balanced view.

Gloriia · 12/05/2025 10:03

peachgreen · 12/05/2025 10:01

Indeed: but I can also ask what her motivations were for doing so.

To canvas opinions on a high traffic site?

TheKeatingFive · 12/05/2025 10:04

peachgreen · 12/05/2025 10:01

Indeed: but I can also ask what her motivations were for doing so.

And you have. Up to the OP if she wants to enlighten you.

TheKeatingFive · 12/05/2025 10:05

Anyway, ignoring the obvious attempts to derail.

It is blatantly obvious that most people don't have a clue about what these surgeries entail

BundleBoogie · 12/05/2025 10:06

peachgreen · 12/05/2025 09:56

I'm not policing it. I'm asking her why.

Would you also have an issue with OP asking question about FGM?

Incidentally, some states in America refused to pass anti FGM laws because the powerful trans lobby knew it was likely to interfere with these ‘trans’ surgeries. That’s how close it is.

I guess the real question here is @peachgreen - why are you not as horrified as the rest of us?

StellaAndCrow · 12/05/2025 10:06

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).

I'm confused by you saying that these stats support successful outcomes. The first link compares trans med having phalloplasty with natal men having phalloplasty
https://pubmed.ncbi.nlm.nih.gov/29019859/. I note it's from 2018.

and this is the conclusion.

Conclusions: Cismale patients undergoing phalloplasty had lower urethral and flap complication rates compared with transmale patients. Staged urethroplasty had more flap complications, and worse outcomes and patient satisfaction compared with primary urethroplasty.

The second link
https://www.sciencedirect.com/science/article/abs/pii/S2050052122000129
in your post you have quoted the findings from the study that
"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%)"

This just seems to confirm my concerns.

Outcomes after Phalloplasty: Do Transgender Patients and Multiple Urethral Procedures Carry a Higher Rate of Complication? - PubMed

Cismale patients undergoing phalloplasty had lower urethral and flap complication rates compared with transmale patients. Staged urethroplasty had more flap complications, and worse outcomes and patient satisfaction compared with primary urethroplasty.

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

borntobequiet · 12/05/2025 10:06

peachgreen · 12/05/2025 10:00

Indeed: so again, why ask on Mumsnet?

Some of us don’t use X or Tik Tok. We prefer to have our discussions on here.

peachgreen · 12/05/2025 10:06

Gloriia · 12/05/2025 10:03

To canvas opinions on a high traffic site?

Did OP really ask for opinions though? She asked some very specific questions:

  • "Do they work?"
  • "Do they actually function?"
  • "Is it mainly cosmetic?"
  • "Can they orgasm?"

All questions that, I would argue, would be better answered by those who have undergone said surgery (or performed it).

peachgreen · 12/05/2025 10:07

borntobequiet · 12/05/2025 10:06

Some of us don’t use X or Tik Tok. We prefer to have our discussions on here.

That's fair enough, but OP wasn't asking for a discussion, she was asking very specific medical questions.

Gloriia · 12/05/2025 10:08

peachgreen · 12/05/2025 10:06

Did OP really ask for opinions though? She asked some very specific questions:

  • "Do they work?"
  • "Do they actually function?"
  • "Is it mainly cosmetic?"
  • "Can they orgasm?"

All questions that, I would argue, would be better answered by those who have undergone said surgery (or performed it).

We don't have to have had the mutilating surgery ourselves to know the answers, as demonstrated by many posts if you read the thread?

borntobequiet · 12/05/2025 10:09

peachgreen · 12/05/2025 10:06

Did OP really ask for opinions though? She asked some very specific questions:

  • "Do they work?"
  • "Do they actually function?"
  • "Is it mainly cosmetic?"
  • "Can they orgasm?"

All questions that, I would argue, would be better answered by those who have undergone said surgery (or performed it).

And has got some very specific answers, backed up with evidence.

peachgreen · 12/05/2025 10:09

BundleBoogie · 12/05/2025 10:06

Would you also have an issue with OP asking question about FGM?

Incidentally, some states in America refused to pass anti FGM laws because the powerful trans lobby knew it was likely to interfere with these ‘trans’ surgeries. That’s how close it is.

I guess the real question here is @peachgreen - why are you not as horrified as the rest of us?

I actually am quite horrified by the procedure, and by the complication rate. Again, I am very much not pro-phalloplasty. But I still don't think Mumsnet is the place to get the kinds of questions OP has answered accurately.

FGM slightly different in that there are more likely to be women here who have experienced FGM -- but I'd still say that if one wanted specific medical questions about the experience of FGM answered, it would be better to post on a forum specifically for women who have undergone FGM.

peachgreen · 12/05/2025 10:09

borntobequiet · 12/05/2025 10:09

And has got some very specific answers, backed up with evidence.

But not from anyone who has actually undergone the procedure.

borntobequiet · 12/05/2025 10:10

peachgreen · 12/05/2025 10:07

That's fair enough, but OP wasn't asking for a discussion, she was asking very specific medical questions.

Discussion is part of arriving at answers to questions.