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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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NeverEndingSnorey · 12/05/2025 05:02

I wouldn’t want a penis. Working or otherwise, and especially not with balls. Ugly things at the best of times. I don’t think I could get used to bollocks. Fortunately I don’t want them, must be very difficult for those that do.

miraxxx · 12/05/2025 05:20

akkakk · 12/05/2025 04:55

It is mutilation of a functioning body to surgically respond to a mental issue (body dysmorphia)

it is not reconstructive surgery for a damaged body…

Exactly. It is this kind of sleight of hand argument that needs to be nailed. It is effectively lying. They do the same with puberty blocking drugs used to help kids with precocious puberty (necessary short-term treatment even with the serious and acknowledged side effects) and the same drugs used in healthy children with gender dysphoria (chasing a cosmetic aim with terrible side effects, a really malevolent medical malpractice).

miraxxx · 12/05/2025 05:22

TheOriginalEmu · 12/05/2025 04:19

Were you this concerned about puberty blockers for precocious puberty?

Ah, here it comes. I had missed this. You can only win with this argument with the thoroughly ignorant. Not here.

JoeGargery · 12/05/2025 06:01

Not phalloplasty but this short came up with experiences of trans women undergoing SRS - their experiences are painful and lifelong and it’s clear they feel they weren’t prepared for the realities.

www.facebook.com/share/v/16Dwc6oKKa/?mibextid=wwXIfr

Tinseltuttifruitti · 12/05/2025 06:07

https://www.nytimes.com/2022/05/10/magazine/phalloplasty.html?unlocked_article_code=1.Gk8.9PvW.9aqXAXtdyIEx&smid=url-share

This article presents a rosy view but explains the mechanics well. I read it a while ago and found it very sad, worth reading to the end.

fost · 12/05/2025 06:18

This reply has been deleted

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

If this is the one where you say the tip has 'turned black' then you don't need to worry on that front... the skin was taken from the lower abdomen, which was tattooed. The black is just ink.

He says in some of his posts that he will be having further surgery, so the hole will be dealt with then.

PurpleAxe · 12/05/2025 06:24

TheOriginalEmu · 12/05/2025 04:23

The absolute hysteria over trans people on this website is…I don’t know if it’s funny or just really sad. And it’s quite clear from the way replies are worded that most of the people responding don’t actually have a thought of their own, they just parrot back responses they’ve seen on this app.
Mumsnet used to be a great place to visit, but it’s totally jumped the shark these days.

Ah "hysteria" that's a favourite, eh?

This website is predominantly made up of women, mothers, you know those people who care about children and who defend them.

We know who they currently need defending from. And are familiar with the accusations of hysteria, and the attempts at the dimunation of our relevance and importance.

As a PP says, that bullshit doesn't fly anymore. So shove your hysteria up your arse and live with the fact that women, actual women, will always, rather annoyingly be in the fucking way.

Sure, some have drunk your weird arse kool aid, but most of us have not.

myplace · 12/05/2025 06:39

Obviously the created genitals don’t function as well as homegrown original genitals. The function is less effective and the likelihood of complications is relatively high.

That’s ok, though isn’t it? Men can be incontinent and have erectile disfunction, too!

I think that’s how the argument goes for trashing perfectly serviceable body parts.

The first line of treatment for gender confusion has to be acceptance of a functional healthy body.

I can’t remember her name, but a young American documenting her phalloplasty journey died last year. She’d been very active on TikTok, triumphantly overcoming obstacles throughout her treatment, encouraging others to follow her lead. But the health issues got ever worse, she began to look and sound exhausted. Then she died.

jeaux90 · 12/05/2025 06:42

Of course they don’t “work” a penis has a very specific biological function. There are many trans men who don’t go through the procedure for exactly the many reasons stated on here. Absolute butchering.

NeelyOHara · 12/05/2025 07:02

TheOriginalEmu · 12/05/2025 04:26

of course they are told of the risks! Do you imagine some dodgy doctor with long coat on is handing out puberty blockers and phalloplasty and not explaining the risks of both??

How do you know so much about it? Have you been offered them? Otherwise how on earth would you know? Odd.

LizzieSiddal · 12/05/2025 07:08

WhitneyPooston · 12/05/2025 03:08

Trans people having these surgeries are aware of the risks, and the fact that the penis they end up with won’t function like a ‘real’ one. For some, the risk is worth it to not feel uncomfortable in their body whenever they go to the toilet, get undressed etc.

As a cis person I am grateful that I don’t have to weigh up the pros and cons of such a procedure, having a high-risk surgery with high rates of complications and lack of functionality vs. feeling so awful in my own skin that it’s unbearable to look at myself in a mirror.

Many of my trans friends have had top surgery (self funded in most cases) but won’t have a phallopasty due to the risks (some of which you’ve seen yourself). It’s such a personal thing and I feel sad for people born with gender dysphoria, because to most people the risks are just way too high to ever consider it.

Would also recommend a hobby that doesn’t involve looking at random strangers’ genitals on Reddit.

So people should keep quiet about a medical procedure which results in 70% complication rate?

Maye you should educate yourself on what the women of MN have helped to achieve over the past few years- I’ll start by the highlighting of the horrors which were going on at the Tavistock clinic for children, which ended with it closing down as it was “UNSAFE” for children.
You’d have been on here telling us all to go and find another hobby. Well thank god we don’t listen to people like you.

FlakyCritic · 12/05/2025 07:10

TheOriginalEmu · 12/05/2025 01:55

Well they might be informed on some issues, but not this one.
Sometimes with the aid of pumps etc you can get an erection after phaloplasty. Does it work the same as a cis man’s penis, no. But they CAN be functional.
Would you be this concerned if your son had need of reconstructive surgery after cancer or an accident?

It’s interesting because as a person who lost a leg at the hip as well as pelvic muscle. my body looks very different to the norm. If I was to have reconstructive surgery I still wouldn’t look ‘normal’ but for me it would be fantastic. Who is anyone else to judge what I want my body to look like? Same goes for trans men.

Here we go with the 'what if they had an accident' line. It jumps the shark there. There is a major difference - and you know this too, in having reconstruction surgery for something that was damaged via accident or illness, to deliberately damaging something to reconstruct it.

TheIceBear · 12/05/2025 07:14

Tinseltuttifruitti · 12/05/2025 06:07

https://www.nytimes.com/2022/05/10/magazine/phalloplasty.html?unlocked_article_code=1.Gk8.9PvW.9aqXAXtdyIEx&smid=url-share

This article presents a rosy view but explains the mechanics well. I read it a while ago and found it very sad, worth reading to the end.

This is really sad, sad that someone is so uncomfortable with their own body that they would go through with this. It seems like it is such a complicated operation. It really is drastic measures. It must cost a fortune as well as several procedures are needed.

FlakyCritic · 12/05/2025 07:17

TheOriginalEmu · 12/05/2025 04:16

It’s not different, because to s trans person there is something massively wrong with their body. A persons mental health is as much a medical reason as any other. We have been doing ‘cosmetic’ surgery for mental health reasons for a long time now.

There has been at least one documented person in recent (I say recent, I forget when but I believe it was in the last 20 years) times who wanted to be blind. And found a way to make themselves blind. Is that acceptable to you, or do you pick and choose what mental health condition is worthy of defence? There is also someone who wanted to have their leg amputated, again, in recent times, and had that happen. Now I am sure someone like you as an amputee not of your choice feels aghast at that.

Then there was the deaf couple who were determined that they would only have a deaf child.

I mean, how far do you take this? Wouldn't it be better to not fix mental health by chopping off limbs and body parts? I genuinely believe if we could bring back asylums or at least have people admitted to psychiatric hospitals more efficiently, we could help these people get better in a way that doesn't see them chopping off limbs and body parts to fix a mental illness.

FlakyCritic · 12/05/2025 07:20

TheOriginalEmu · 12/05/2025 04:19

Were you this concerned about puberty blockers for precocious puberty?

Again, false equivalence. Puberty blockers for precocious puberty are only given for a period of 6 months to a year. 2 years maximum. For trans children it is for as long as 6 years and at a higher dosage, hence the increased risk of Osteoporosis (PBs leak calcium) at age 24 and a myriad of other health problems such as narrowing of the spinal cord and lack of IQ/frontal cortex growth (stopping the natural growth hormones, naturally, is going to affect the physical and mental body).

FOJN · 12/05/2025 07:24

493ruth · 12/05/2025 00:18

Do you often worry about whether strangers can orgasm?

I just wanted to highlight this response as an example of how activists try to shut down conversation.

If you are interested or concerned about the nature and/or success of this type of surgery you must be some kind of pervert and should be ashamed of yourself. Don't be fooled by it.

This surgery is very experimental and has a high complication rate, including death. We should be bothered that young people are being persuaded to have risky cosmetic surgery which does not achieve a good result.

FlakyCritic · 12/05/2025 07:24

TheOriginalEmu · 12/05/2025 04:23

The absolute hysteria over trans people on this website is…I don’t know if it’s funny or just really sad. And it’s quite clear from the way replies are worded that most of the people responding don’t actually have a thought of their own, they just parrot back responses they’ve seen on this app.
Mumsnet used to be a great place to visit, but it’s totally jumped the shark these days.

I think it's not us that are unthinking. If you read the posts on here, you will read people who are will educated on this topic and have taken the time to read studies and research. On the other, you have the defenders 'oh, they know it won't work well, what about accidents, what about precocious puberty, what about....'. No thought, no education, no research, just defensive whataboutery. Which well and truly jumps the shark. In lieu on any actual meaty argument. Anyone reading this thread will see how well researched those of us are. And contrast with your 'what about, what about, what about' defensive denialism. I doubt you have even read one research study.

That's why I'm incredibly proud of our side. The depth of research, the strength of arguments. Deep down you know you cannot argue the same.

Seriestwo · 12/05/2025 07:24

They are doing this surgery at Chelsea and Westminster in London. It’s FGM, or rather, it would be but the women having it done are over 18 so the anti FGM legislation doesn’t protect them.

Ferro · 12/05/2025 07:25

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.

How many men in their 20s can't get an erection and need a device to help?

When they say "this operation will give you a penis" do they say it will be the floppy penis of a sad 80 year old, at best?

bigknitblanket · 12/05/2025 07:26

Someone told me the other day that trans people have very high rates of UTI because they don’t like going to the toilet in public places for fear of being picked on. I assume the real reason for lots of UTIs is down to botched surgeries?

Seriestwo · 12/05/2025 07:29

UTI rates are more likely to be from testosterone - it makes the vaginal tissue menopausal and that shrivels all round the urethra too. It’s probably true they don’t go to the loo, but how much of that is anxiety because they know they are female and transgressing a social boundary by going into the men’s? And very few women have genital surgery, for all the reasons listed by PP. it doesn’t fucking work.

Lardychops · 12/05/2025 07:30

HelenaWaiting · 12/05/2025 00:41

Surely if the NHS is spending hundreds of thousands of pounds on surgeries that have neither a medical nor an ethical basis it is every taxpayer's business? There has never been a meaningful debate about whether taxpayers should be asked to fund what are at best cosmetic procedures and at worst grotesque mutilation. Successful outcomes and medical necessity are important factors when decisions are made about whether or not to fund other complex surgical procedures.

Surely this isn’t available in the NHS??
Are we actually paying for this shit??

LesserCelandine · 12/05/2025 07:30

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.

Remember there are also sites that egg people on to suicide. Not everyone on those sites will be genuine, some will be there to see how far they can push people.

FlakyCritic · 12/05/2025 07:32

TheOriginalEmu · 12/05/2025 04:26

of course they are told of the risks! Do you imagine some dodgy doctor with long coat on is handing out puberty blockers and phalloplasty and not explaining the risks of both??

Wrong! This here shows the lack of any research you've done. Many detransitioners were NOT told of the risks. One thought she (FTM) could just 'grow back' her breasts. Adults now who had their breasts chopped off at age 15 (California) are suing the surgeons. They could not give informed consent. A doctor at WPATH admitted ON...VIDEO, that the children could not give INFORMED consent. As well a what the PBs and testosterone would do to their eggs.

Putting aside the incidence of girls having their breasts chopped off at age 15 (13, at one case), you have adult males (MTF) who state on reddit, and I have screenshots of this saved, that they were NOT told of the risks to vaginaplasty, they weren't told of the smell, some said they were not told they would need to dilate so often during the day and for so long, they were not told in at least 4 cases I have saved that they wouldn't orgasm again or that it would be 'incredibly weak'.

It's very clear from your posts that you are utterly, deeply ill-informed. I know you want to mean well, but you are way out of your depth. You have absolutely no idea of what trans people themselves are saying. They are saying - adult ones too, that they were not told of the risks. Are you calling them liars? Well, are you?

LadyBracknellsHandbagg · 12/05/2025 07:33

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.

Please don’t, the thought of this barbarity is enough!