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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:
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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.

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.

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:
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.

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 23:29

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.

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.

Sharkknife · 11/05/2025 23:30

Oh wow, the arms look like severe trauma victims!

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.

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.

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.

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.

glittercunt · 11/05/2025 23:38

SilverTapz · 11/05/2025 23:27

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.

The only complaint I've heard from someone I know who had phallo, was that they were not prewarned of every single negative aspect which could occur.

It's something which needs to be super transparent.

The procedure is likely to improve greatly over time as medical knowledge and tools etc improve. But it currently works for most.

There are other choices besides phallo. I wouldn't choose it. But then I also wouldn't have chosen the current shitshow that is premenopausal whatthefuck that I currently have.

I'm super pissed off that I was never warned what happens to labia during peri. Oh and we weren't told peri existed either.

JHound · 11/05/2025 23:38

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.)

😀

Lardychops · 11/05/2025 23:40

NaiceBalonz · 11/05/2025 23:29

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.

But they are males ( no need for the word cis thanks- I know what men are - all women and men for that matter do) that have erectile dysfunction

Not females who have undergone (arguably dangerous surgeries) to make them look male and are attempting to inflate a flaccid skin graft?

I mean there is a difference no?

Lardychops · 11/05/2025 23:45

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.

I certainly wouldn’t feel threatened by a trans identifying man in a hospital bed next to me as they are 100 percent female in my view and therefore welcome in my spaces- skin graft penis or no skin graft penis.

Mrsbloggz · 11/05/2025 23:48

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.

Androgens alone are generally enough to create a sort of micro penis ime

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.

BrianaBlessed · 11/05/2025 23:59

That Reddit thread is actually one of the most shocking things I’ve ever seen. These women are butchering themselves and the results are repulsive. They look nothing like a penis. And there’s so many surgeries gone wrong. Honestly, I didn’t know this extreme existed and it’s appalling. It’s taking advantage of mental health issues with extreme outcomes

Apao · 12/05/2025 00:06

I can’t imagine they feel much, I had a skin graft on my face and I have numbness and weird nerve type feelings, not something I’d want on my genitals.

AstonUniversityPotholeDepartment · 12/05/2025 00:15

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.)

In that case, read this essay on the subject from someone who is very happy with the results of a phalloplasty procedure.

https://nymag.com/intelligencer/article/gabriel-mac-essay.html

My Penis, a Love Story

I didn’t need a penis to be a man. But I needed one to be me.

https://nymag.com/intelligencer/article/gabriel-mac-essay.html

493ruth · 12/05/2025 00:18

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!

Do you often worry about whether strangers can orgasm?

AstonUniversityPotholeDepartment · 12/05/2025 00:25

493ruth · 12/05/2025 00:18

Do you often worry about whether strangers can orgasm?

Yes. I'm passionately against FGM- Female Genital Mutilation- which is a vile mutilation done of female children and adolescents to limit their capacity for sexual pleasure in adulthood. I also donate to charities which help women physically recover from life-altering birth injuries.

Next question?

SALaw · 12/05/2025 00:39

With both phalloplasty and vaginoplasty threads on Reddit I have seen repeated mention of multiple corrective surgeries being needed. Why is the “failure” rate so high and why are people putting up with it? It seems to be relatively accepted that this would happen and people are left needing years and years of corrective procedures. It’s very upsetting to read.