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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:
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14
Lovelysummerdays · 12/05/2025 07:34

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.

I read it, it was interesting. A one third complication rate is lower than I thought it would be tbh. The idea of living with a splayed open penis (hot dog stage) though! I’d love to know comparatively how much money was spent on psychological care to help Ben before embarking on a lifetime medical pathway that costs hundreds of thousands of dollars.

Gloriia · 12/05/2025 07:46

This reply has been deleted

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

God, that is absolutely shocking. The terribly scarred graft sites, the lumps of skin pretending to be penises. Why would any reputable health care professional do that to someone. It is gross and as pp have said just self harm on a monumental scale.

Lucelady · 12/05/2025 07:48

I think it is important that people understand what this surgery really means. It's not just wearing male attire and having a few tattoos.
We have allowed self ID for GRC which doesn't require surgery. So after the supreme Court ruling TRA move on to another group of vulnerable people. Very few bio male TW have surgery so they target vulnerable female kids. By 13 there are enough algorithms targeting teenagers with happy 'glitter' stories about their fabulous transgender lives. Add in Stonewall pushing into schools with their agenda and we have a perfect storm. I lost my happy feminine daughter to this ideology eight years ago. I've spent a decade fighting the surgeons knife. After the Cass report the TRAs moved onto universities. It's even harder to monitor the utter sh*te that is discussed there. We cannot legislate adults but we also don't have to be quiet about the utter lies that are told to vulnerable often ND or SEMH young people. I make it my business to read, watch and listen about trans issues. Only 8800 people indentify as trans in the UK but we push it under the carpet at our peril.
Read Chloe Cole if you want to understand the American agenda behind FTM. It's sinister.
Fwiw my daughters friend spent two weeks in hospital with bladder and bowel issues brought on by testosterone.
I hope she is not planning more modifications.

breakfastdinnerandtea · 12/05/2025 07:48

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.

Do we know what the staff there think of this? I know they’re allowed to consciously object to certain healthcare things but as far as I’m aware this isn’t included (I’m only aware of abortion and IVF type procedures). Can they object to being in the operating room when this procedure is going on?

Lovelysummerdays · 12/05/2025 07:50

Lardychops · 12/05/2025 07:30

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

https://www.leedsandyorkpft.nhs.uk/our-services/wp-content/uploads/sites/2/2022/02/Phalloplasty_leaflet_v3.pdf

It is indeed, the wait lists are really long though. I think one of the complaints of TRAs is the waiting lists and time taken for “gender affirming” care.

https://www.leedsandyorkpft.nhs.uk/our-services/wp-content/uploads/sites/2/2022/02/Phalloplasty_leaflet_v3.pdf

sevilleorangemarmalade · 12/05/2025 07:51

Transmen who have undergone this procedure pee standing up , get erections as a response to visual or physical stimulation, and ejaculate when they climax?

For clarity: some GMs are able to pee standing up, but many develop issues which mean that the urine dribbles out of the flesh sausage that forms their faux penis at points other than the end of it. TMs can use a manual pump to give the impression of an erection but it's nothing like the real thing. They can't ejaculate because they have no testicles and don't produce sperm, so if they produce anything it's going to be urine. And one of the big complaints from TMs is the fact that they don't have much sexual response. I imagine it's quite difficult to feel sexually aroused when such a high percentage of TMs with phallopasties have chronic, ongoing urinary infections which can cause serious kidney disease.

Gloriia · 12/05/2025 07:53

'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.'

But many of us will have had major surgery and reconstruction for varying medical issues. 'Same doesnt go' for those with body dysphoria. Mutilating a body when there is not a disease to cure is not a medical issue .

LadyBracknellsHandbagg · 12/05/2025 07:53

AstonUniversityPotholeDepartment · 12/05/2025 00:15

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

That article screams mental health issues, it isn’t in any way an endorsement of this utter barbarity.

Bunnycat101 · 12/05/2025 07:55

I think regardless of the particular procedure, it feels like some of the interventions have not been held to the same research and ethical standards for other aspects of care and that is a problem. The bar has been lower for gender identify services. I couldn’t even get my wisdom tooth taken out as the consultant was worried about the risk of the harm and the balance of risk.

AstonUniversityPotholeDepartment · 12/05/2025 07:56

LadyBracknellsHandbagg · 12/05/2025 07:53

That article screams mental health issues, it isn’t in any way an endorsement of this utter barbarity.

Precisely. But we've been told to listen to what "trans men" have to say, so let's hear them.

Hoardasurass · 12/05/2025 07:56

GargoylesofBeelzebub · 11/05/2025 23:15

It's absolutely barbaric. Given how high the failure rates are it's astonishing it's still allowed.

Yes its a little squeeze pump usually in the fake scrotum

Sorry quoted the wrong post 🤦‍♀️

Hoppinggreen · 12/05/2025 08:00

I appreciate that its personal choice but Doctors should refuse to perform uneceessary operations with a low chance of success and a high chance of complications.
No reputable Doctor would do this, its all about money

dogcatkitten · 12/05/2025 08:00

Any plastic surgery can have horrific results, face lifts, breast augmentation, butt lifts, liposuction, there are horror stories for all of these too (not to mention penis enhancement and what I can only describe as huge balls). What people are willing to do to themselves in the name of beauty is unbelievable, but their decision I guess.

LadyBracknellsHandbagg · 12/05/2025 08:05

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.

It doesn’t make it ethical or morally acceptable, it’s experimentation on mostly ND young people, it’s barbaric.

GrumpyCatHasFleas · 12/05/2025 08:07

How are drs legally allowed to butcher people in this way ?

Moonmelodies · 12/05/2025 08:09

You can tell on that sub-Reddit forum even the phallopians know it's a scam - because any comments questioning the wisdom of the procedure, or even the use of certain words like 'outcome' or 'results', get met with deletions and banning from the sub. It's a proper 'Emperor's New Clothes' arena.

Hoppinggreen · 12/05/2025 08:11

GrumpyCatHasFleas · 12/05/2025 08:07

How are drs legally allowed to butcher people in this way ?

By calling it "gender affirming care"

TheKeatingFive · 12/05/2025 08:11

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.

Unfortunately the tales of detransitioners doesn't bear this out

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

LadyBracknellsHandbagg · 12/05/2025 08:14

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.

So why are you here? We’re no longer afraid to call out this insidious ideology, it’s been proven repeatedly that it’s regressive, misogynistic and homophobic. For those of us who are mothers we seek to protect our children from ghouls who encourage them to butcher their perfectly healthy bodies, in order to become something that they can never be, the opposite sex.
We will never stop calling this out, using facts and the law if necessary, because both of those things are on our side. These young people are being horrendously failed, they need mental health intervention, not affirmative, unproven and irreversible medical intervention.

Call us whatever you like, patronise us, scold us, we will remain unmoved and steadfast in the face of this insanity.

moogdroog · 12/05/2025 08:14

Lucelady · 12/05/2025 07:48

I think it is important that people understand what this surgery really means. It's not just wearing male attire and having a few tattoos.
We have allowed self ID for GRC which doesn't require surgery. So after the supreme Court ruling TRA move on to another group of vulnerable people. Very few bio male TW have surgery so they target vulnerable female kids. By 13 there are enough algorithms targeting teenagers with happy 'glitter' stories about their fabulous transgender lives. Add in Stonewall pushing into schools with their agenda and we have a perfect storm. I lost my happy feminine daughter to this ideology eight years ago. I've spent a decade fighting the surgeons knife. After the Cass report the TRAs moved onto universities. It's even harder to monitor the utter sh*te that is discussed there. We cannot legislate adults but we also don't have to be quiet about the utter lies that are told to vulnerable often ND or SEMH young people. I make it my business to read, watch and listen about trans issues. Only 8800 people indentify as trans in the UK but we push it under the carpet at our peril.
Read Chloe Cole if you want to understand the American agenda behind FTM. It's sinister.
Fwiw my daughters friend spent two weeks in hospital with bladder and bowel issues brought on by testosterone.
I hope she is not planning more modifications.

The 8800 you quote is only those with GRCs, which isn't a necessary step in identifying as trans (or accessing any type of surgery). The scale of trans identified people is much, much higher but we don't know exactly.

TheKeatingFive · 12/05/2025 08:15

dogcatkitten · 12/05/2025 08:00

Any plastic surgery can have horrific results, face lifts, breast augmentation, butt lifts, liposuction, there are horror stories for all of these too (not to mention penis enhancement and what I can only describe as huge balls). What people are willing to do to themselves in the name of beauty is unbelievable, but their decision I guess.

In this case though, it's not about 'beauty'.

They're doing it to attempt to pass as a man

MyOliveHelper · 12/05/2025 08:16

GrumpyCatHasFleas · 12/05/2025 08:07

How are drs legally allowed to butcher people in this way ?

I think that's a silly question while we have so many forms of totally unnecessary cosmetic surgery. Okay so our kids might want to modify their genitals because they believe they are the wrong sex. Our daughters who know they are our daughters, might want to stick plastic and rubber inside them so they have bigger boobs and bum, they might file all their teeth down and put caps over the stubs, they might explode their lips with filler. They might shave off their labia for a smoother look.

Hoppinggreen · 12/05/2025 08:18

TheKeatingFive · 12/05/2025 08:15

In this case though, it's not about 'beauty'.

They're doing it to attempt to pass as a man

Which they won't either because having an (often inert) lump of flesh in your groin cannot make you grow several inches in height, change your hip bones and square your jaw.

TheKeatingFive · 12/05/2025 08:18

MyOliveHelper · 12/05/2025 08:16

I think that's a silly question while we have so many forms of totally unnecessary cosmetic surgery. Okay so our kids might want to modify their genitals because they believe they are the wrong sex. Our daughters who know they are our daughters, might want to stick plastic and rubber inside them so they have bigger boobs and bum, they might file all their teeth down and put caps over the stubs, they might explode their lips with filler. They might shave off their labia for a smoother look.

None of those examples you mention are going to affect their sexual function or their normal bladder function - now are they?

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