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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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ArtTheClown · 12/05/2025 08:21

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 is a very troubled person who transitioned after a violent stranger rape in Hait.

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

MyOliveHelper · 12/05/2025 08:21

TheKeatingFive · 12/05/2025 08:18

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

Yes! People are dying from BBLs. They are ruining their oral function with turkey teeth. Fillers etc are toxic and are going wrong too. And of course labioplasty (which is illegal as a form of FGM) can cause sexual dysfunction.

It makes no sense to be terrified if what trans teens might be doing while your daughter is walking around with horsey teeth she bought on holiday and her ass expanded with whatever crap they put in it.

MayaPinion · 12/05/2025 08:22

Wow, that’s barbaric. How on earth is that even legal, never mind performed by the NHS? Those poor people. How can anyone undergo a procedure with such long term life changing consequences when they already had a fully functioning urinary and genital system? To go through all that to have an inferior bastardized pale facsimile of a penis, to mutilate your body like that, and to be ‘affirmed’ that it’s a desirable outcome of risky and complicated surgery, is horrifying. If anything it highlights the need for much much better mental health support so that people can better accept their bodies.

TheKeatingFive · 12/05/2025 08:23

MyOliveHelper · 12/05/2025 08:21

Yes! People are dying from BBLs. They are ruining their oral function with turkey teeth. Fillers etc are toxic and are going wrong too. And of course labioplasty (which is illegal as a form of FGM) can cause sexual dysfunction.

It makes no sense to be terrified if what trans teens might be doing while your daughter is walking around with horsey teeth she bought on holiday and her ass expanded with whatever crap they put in it.

The fact that you're comparing this with cosmetic dentistry demonstrate you have got a freaking clue what you're talking about

Hoppinggreen · 12/05/2025 08:23

MyOliveHelper · 12/05/2025 08:21

Yes! People are dying from BBLs. They are ruining their oral function with turkey teeth. Fillers etc are toxic and are going wrong too. And of course labioplasty (which is illegal as a form of FGM) can cause sexual dysfunction.

It makes no sense to be terrified if what trans teens might be doing while your daughter is walking around with horsey teeth she bought on holiday and her ass expanded with whatever crap they put in it.

Its possible to worry about more than one type of Teen having unecessary surgery

MyOliveHelper · 12/05/2025 08:23

Listen, I'm really really against this trans teen stuff. Like massively against it. I thought this site was a collection of people who felt similarly and it kind of is. I'm disappointed that the arguments against held by a lot of members are weak though. There isn't consistency on your fears around these issues and so it comes across like you are just bigoted.

changedusernameforthis1 · 12/05/2025 08:24

Hey, trans man here.
I know of two people who've had this done - one had really good results and can achieve orgasm. The erection has to be done manually (there's a pump to squeeze) but sex is possible and enjoyable for him and his Wife. I haven't seen it, however, so can't comment on the look of it but his arm does look quite bad. .

The other one has to have 2 more surgeries as things went wrong and now has no feeling down there to the point that he has to use a catheter.

I wouldn't have it done myself, unless there was some scientific miracle that could promise I wouldn't lose any feeling afterwards or you know, die on the operating table. Metoidioplasty is another option, but wouldn't be functional for sex.

I think, from what I've heard, phalloplasty is extremely risky and, even if it all goes well, it's a very painful recovery. However it's pretty much glorified by the trans community and in a lot of groups, seen as an "end goal" unfortunately.

nauticant · 12/05/2025 08:25

Only 8800 people indentify as trans in the UK

"The UK's 2021 census in England and Wales identified 262,000 people who reported a gender identity different from their sex registered at birth. This number represents 0.5% of the adult population (aged 16 and over). Within this group, 48,000 identified as trans man, 48,000 as trans woman, and 30,000 as non-binary."

Athough these numbers need to be treated with caution because the Office for National Statistics (ONS) botched the census by including questions about gender identity that were to suit activists and not the population and were widely misunderstood.

MyOliveHelper · 12/05/2025 08:25

Hoppinggreen · 12/05/2025 08:23

Its possible to worry about more than one type of Teen having unecessary surgery

I don't see ant my threads about it and yet everyone is terrified about what trans kids are doing to themselves. It makes no sense at all. If body modification at such a young age is an issue, then it's an issue for all young people modifying their bodies. Not just ones who think they are the wrong sex.

Bikergran · 12/05/2025 08:26

Women can pee standing up, with a bit of practice. Place the flat of your hand above the pubis, pull upwards, then pee. The aim isn't great, and you really need to go commando, but it's handy when you're camping or at a festival with gross toilet facilities.

TheKeatingFive · 12/05/2025 08:26

MyOliveHelper · 12/05/2025 08:23

Listen, I'm really really against this trans teen stuff. Like massively against it. I thought this site was a collection of people who felt similarly and it kind of is. I'm disappointed that the arguments against held by a lot of members are weak though. There isn't consistency on your fears around these issues and so it comes across like you are just bigoted.

Super happy to be called a 'bigot' by clueless people if this is the price of calling out this horrific surgery.

TheKeatingFive · 12/05/2025 08:27

And this is why mainstream discussion about the problems with the surgery doesn't happy, OP.

Apparently it makes us 'bigots' to do that

MyOliveHelper · 12/05/2025 08:27

TheKeatingFive · 12/05/2025 08:23

The fact that you're comparing this with cosmetic dentistry demonstrate you have got a freaking clue what you're talking about

Actually no, destroying your adult teeth in your early 20s for good is a pretty extreme thing to do. If you can't see how they are comparable, then perhaps you don't have a true place at the table for this debate.

It's extreme body modification without proper informed consent, often to people too young to realise the enormity of their actions. The only difference is that most the people getting their teeth filed down to nubs don't identify as trans.

hididdlyho · 12/05/2025 08:28

It's crazy how these surgeries are deemed acceptable, yet if a child free woman in her 20s or 30s, who knows she doesn't want kids, asks for her tubes tied the answer is no.

JasmineAllen · 12/05/2025 08:28

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.

You're conflating 2 completely different things.

If someone has lost a body part because of injury or cancer they are having reconstructive surgery to attempt to replicate what they've lost.

If someone is having healthy body parts removed/inflated/tweaked etc without any physical need then that is cosmetic surgery. Cosmetic surgery is very sadly common place these days. Experimental genital surgery like phalloplasty and the male version, vagiplasty?, falls into the cosmetic class of surgery, it's just an extreme version of it.

No one is going to judge you for what you want your body to look like, but they will judge a system that operates on mentally ill people to unnecessarily remove and replace their genitals (or any other healthy body part) resulting in life long health problems.

MyOliveHelper · 12/05/2025 08:30

TheKeatingFive · 12/05/2025 08:26

Super happy to be called a 'bigot' by clueless people if this is the price of calling out this horrific surgery.

You're not calling out the price of horrific surgery though. You're targeting one set of people who have horiric surgery that they're probably not informed enough to consent to. You don't seem to care about others who are the same age and having it for very similar reasons as long as they identity as the correct sex.

That shows its all about stopping trans people from existing over saving people from the horror of extreme, unethical surgery.

I'm against all those types of cosmetic procedure for the same reasons.

MyOliveHelper · 12/05/2025 08:31

hididdlyho · 12/05/2025 08:28

It's crazy how these surgeries are deemed acceptable, yet if a child free woman in her 20s or 30s, who knows she doesn't want kids, asks for her tubes tied the answer is no.

Yes this is another thing that is problematic. Real issues.

Gloriia · 12/05/2025 08:31

ArtTheClown · 12/05/2025 08:21

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 is a very troubled person who transitioned after a violent stranger rape in Hait.

What next, shave down the hips to get rid of the curves to give them a 'real' man's physique?
What these women do to themselves is just horrific.

Hoppinggreen · 12/05/2025 08:34

MyOliveHelper · 12/05/2025 08:25

I don't see ant my threads about it and yet everyone is terrified about what trans kids are doing to themselves. It makes no sense at all. If body modification at such a young age is an issue, then it's an issue for all young people modifying their bodies. Not just ones who think they are the wrong sex.

You could start one

User37482 · 12/05/2025 08:35

It’s just so incredibly sad, I’ve since transwomen trying to claim that their “vagina” is like an actual vagina. Similarly you can’t recreate the same tissue or function as an actual vagina.

These people have beens old a lie, it’s really really awful.

MyOliveHelper · 12/05/2025 08:35

Hoppinggreen · 12/05/2025 08:34

You could start one

I don't need to. I know how I feel about the issue, and that's why I bring it up where relevant. Extreme body modification by young people isn't just a trans issue. It isn't even mainly a trans issue. The majority of young people doing it aren't trans.

Helleofabore · 12/05/2025 08:36

TheKeatingFive · 12/05/2025 08:18

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

I agree. None of those examples are comparative at all to phalloplasties. I think if someone thinks that they are comparative, they are downplaying phalloplasties and their brutality on the female body.

FlakyCritic · 12/05/2025 08:38

You can find any corrupt doctor who will do anything... for a price. Just ask Michael Jackson's family (the doctor Conrad Murray who gave him the fatal Propofol). Sadly some doctors can be bought. And determined patients will 'doctor shop'. Not that they have to do that with gender 'affirming' 'care'. There is a whole industry that rake in an estimated several billion world wide from it.

Do phalloplasties actually work?
Blueredyellowgreen · 12/05/2025 08:38

Nameychangington · 11/05/2025 22:57

Or we could ask someone like transman Scott Newgent who's had one:

https://www.genderdysphoriaalliance.com/post/meet-scott-newgent

Sounds like trans people are guinea pigs for crazy surgeons.

"My medical complications have included seven surgeries, a pulmonary embolism, an induced stress heart attack, sepsis, a 17-month recurring infection, 16 rounds of antibiotics, three weeks of daily IV antibiotics, arm reconstructive surgery, lung, heart and bladder damage, insomnia, hallucinations, PTSD, $1 million in medical expenses, and loss of home, car, career and marriage. All this, and yet I cannot sue the surgeon responsible—in part because there is no structured, tested or widely accepted baseline for transgender health care."

The lie that you can change sex has to be corrected. The danage done to individuals believing this lie. Parents wise up before your children are brainwashed into this ideology. Get counselling, get help so they see the lie that you can change sex is exposed.

Gloriia · 12/05/2025 08:39

'The only difference is that most the people getting their teeth filed down to nubs don't identify as trans.'

Just total false equivalence. Dental work is not comparable to extreme body mutilation that ends up looking like body mutilation and not remotely like the gender a person identifies with.

Why doesn't anyone tell them the truth, tats beards and lumps of fashioned skin make them look like women with tats, beards and fake penises, not men sadly.

Full sympathy for anyone tormented by their dysphoria but counselling and dressing how you like a better plan than massive mutilation.

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