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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
ArtTheClown · 12/05/2025 08:53

Where do I start - refer to my post above and educate yourself.

"Educate yourself" has to be one of the most obnoxious phrases currently used in the discourse.
It's not intented as a helpful suggestion, it's intended as a hostile implication that the user only holds their view because they haven't been "educated" (ie brainwashed) into Right Think.

borntobequiet · 12/05/2025 08:53

TheOriginalEmu · 12/05/2025 04:19

Were you this concerned about puberty blockers for precocious puberty?

No equivalence. Try again.

TheKeatingFive · 12/05/2025 08:54

Bluebellwood129 · 12/05/2025 08:52

Where do I start - refer to my post above and educate yourself.

I read your post. Not a single point was refuted in it.

So off you go ...

heathspeedwell · 12/05/2025 08:54

I've pasted a link the to the article below:

"Elaine Miller, a pelvic health physiotherapist and member of the Chartered Society of Physiotherapy ... said that there was a “stigma” around incontinence and that people were “embarrassed” and minimised the issue.

“Wetting yourself is something that just is not socially acceptable, and it stops people from exercising, it stops them from having intimate relationships, it stops them from travelling, it has work impacts,” she said.

“The impact a bit of leaking has on these young people’s lives is huge. It really needs to be properly discussed within gender clinics because I would expect that almost 100 per cent of female people that take cross-sex hormones will end up with these problems,” she added, noting that the study was “robust” and probably underplayed the issue.

“It’s really sad when we hear people say, ‘nobody ever told me this’, and they should have been informed of the risks in gender clinics.”

archive.ph/2bdC3

MrsOvertonsWindow · 12/05/2025 08:55

TheKeatingFive · 12/05/2025 08:54

I read your post. Not a single point was refuted in it.

So off you go ...

It's like debating with toddlers. 😑

TheKeatingFive · 12/05/2025 08:55

LesserCelandine · 12/05/2025 08:52

Trans people having these surgeries are aware of the risks

One of the top questions asked by those undergoing these surgeries is ‘Will I produce sperm?’ That give you an idea of how far these young girls are from understanding what they are doing or being able to give informed consent.

Edited

I read a really sad example where the poor child thought she could father children. This is the level of understanding somd have.

Bluebellwood129 · 12/05/2025 08:56

TheKeatingFive · 12/05/2025 08:54

I read your post. Not a single point was refuted in it.

So off you go ...

I've helpfully given you the tools to find the material yourself. I'm not going to spoon feed you.

TheKeatingFive · 12/05/2025 08:56

MrsOvertonsWindow · 12/05/2025 08:55

It's like debating with toddlers. 😑

I know right.

With a few pompous 'educate yourself' thrown in

LadyBracknellsHandbagg · 12/05/2025 08:56

MyOliveHelper · 12/05/2025 08:47

Arguments that ignore that lots of other people have equally risky surgery for other non-medical reasons.

What? I and several other posters have already stated that any sort of unnecessary surgical procedures are unethical, the difference with this particular type of surgery is it is being performed on people with mental health issues, which necessarily reduces their capacity to consent and fully understand the consequences.

It’s experimentation on vulnerable, young people being sold a lie.

If someone wants to reduce the size of their nose that is objectively something that can be achieved through cosmetic surgery, but telling people they can change sex by undergoing these barbaric procedures is an outright lie, can you not see the difference? If you lack the capacity for informed consent it is morally reprehensible for any dr to carry out these procedures.

TheKeatingFive · 12/05/2025 08:57

Bluebellwood129 · 12/05/2025 08:56

I've helpfully given you the tools to find the material yourself. I'm not going to spoon feed you.

🤣🤣🤣

You have nothing. Enough with your nonsense.

heathspeedwell · 12/05/2025 08:59

Also from the article:
"Transgender men are suffering from “postmenopausal” problems like incontinence in their 20s because of taking testosterone, a study has revealed.
Experts analysed 68 transgender men who were taking<a class="break-all" href="https://archive.ph/o/2bdC3/www.telegraph.co.uk/news/2024/05/11/teachers-trained-to-tell-children-about-hormone-blockers/" rel="nofollow" target="_blank"> the cross-sex hormone to change their identity from female to male and found that 95 per cent had developed pelvic floor dysfunction.
...
Experts said the impact of the sex-changing drugs on bodily functions are under-researched and under-reported, with people “not being informed of the risks at gender clinics”.

Around 87 per cent of the participants had urinary symptoms such as incontinence, frequent toilet visits and bed-wetting, while 74 per cent had bowel issues including constipation or being unable to hold stools or wind in. Some 53 per cent suffered from sexual dysfunction."

And here's the citation: da Silva, L.M.B., Freire, S.N.D., Moretti, E. et al. Pelvic Floor Dysfunction in Transgender Men on Gender-affirming Hormone Therapy: A Descriptive Cross-sectional Study. Int Urogynecol J (2024). https://doi.org/10.1007/s00192-024-05779-3

Pelvic Floor Dysfunction in Transgender Men on Gender-affirming Hormone Therapy: A Descriptive Cross-sectional Study - International Urogynecology Journal

Introduction and Hypothesis The objective of this research is to explore the effects of hormone therapy using testosterone on pelvic floor dysfunction (PFD) in transgender men. We hypothesize that PFD might be prevalent among transgender men undergoing...

https://link.springer.com/article/10.1007/s00192-024-05779-3?error=cookies_not_supported&code=1a14e4e6-ef8d-482b-9c34-eb343e0e7df5

FizzingAda · 12/05/2025 08:59

I also think with horror about the animals who were experimented upon to develop this surgery, along with vaginaplasty.

MyOliveHelper · 12/05/2025 08:59

LadyBracknellsHandbagg · 12/05/2025 08:56

What? I and several other posters have already stated that any sort of unnecessary surgical procedures are unethical, the difference with this particular type of surgery is it is being performed on people with mental health issues, which necessarily reduces their capacity to consent and fully understand the consequences.

It’s experimentation on vulnerable, young people being sold a lie.

If someone wants to reduce the size of their nose that is objectively something that can be achieved through cosmetic surgery, but telling people they can change sex by undergoing these barbaric procedures is an outright lie, can you not see the difference? If you lack the capacity for informed consent it is morally reprehensible for any dr to carry out these procedures.

So is much of the cosmetic surgery on yoing women who suffer from.their own forms of dysphoria. You think a young woman who believes that she needs big rubber lips and a massive arse to look good is mentally well?

Gloriia · 12/05/2025 09:00

LadyBracknellsHandbagg · 12/05/2025 08:56

What? I and several other posters have already stated that any sort of unnecessary surgical procedures are unethical, the difference with this particular type of surgery is it is being performed on people with mental health issues, which necessarily reduces their capacity to consent and fully understand the consequences.

It’s experimentation on vulnerable, young people being sold a lie.

If someone wants to reduce the size of their nose that is objectively something that can be achieved through cosmetic surgery, but telling people they can change sex by undergoing these barbaric procedures is an outright lie, can you not see the difference? If you lack the capacity for informed consent it is morally reprehensible for any dr to carry out these procedures.

This with bells on.

It is performing a massive mutilating op on someone who has mental health issues and believes it will make them something that they are not.

Anyone having their teeth done just wants straight white teeth. They don't believe it makes them a different person.

TheKeatingFive · 12/05/2025 09:00

FizzingAda · 12/05/2025 08:59

I also think with horror about the animals who were experimented upon to develop this surgery, along with vaginaplasty.

I never even thought of that. Christ.

BundleBoogie · 12/05/2025 09:01

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.

You are being slightly economical with the truth here though.

Sometimes arms are used as the graft donor site but it is full thickness skin which leaves tendons and nerves dangerously exposed and causes a high rate of complications such as swelling of the hand (because lack of skin on the arm hampers normal lymph drainage (a full body system for cleansing tissue etc) and lack of movement/function in the hand.

Thr thigh is another popular site which has its own issues. Again the full thickness skin graft, nerve damage, infection risk etc.

The issues with the operative site are extensive and very frequently occurring - the complication rate is reported as high as 90% and several deaths have occurred as a result of recurring infections and other issues.

Issues with fistulas and failure of the urethra extension mean many remain incontinent and subject to countless infections and chronic pain.

An earlier pp claimed that the kids (many are under 25) make informed judgements but this is incorrect. Doctors routinely downplay the risks, they are discouraged from looking at sites that provide the information I describe above (cos transphobia) and pro trans sites hide the truth. One US hospital made presentations on the high profitability of these processes because of the creation of a lifelong ‘frequent flier’ surgical patient.

Horrifyingly the utterly captured NHS (see Darlington nurses etc) are creating a hospital dedicated to these surgeries. It’s on the South coast as I remember. I imagine they are hiding information in this as they know how horrified people would be if they found out.

MyOliveHelper · 12/05/2025 09:01

Gloriia · 12/05/2025 09:00

This with bells on.

It is performing a massive mutilating op on someone who has mental health issues and believes it will make them something that they are not.

Anyone having their teeth done just wants straight white teeth. They don't believe it makes them a different person.

See my previous post. If you don't think a woman like Katie price is mentally unwell, then I don't know what to say to you

DecayedStrumpet · 12/05/2025 09:02

Bluebellwood129 · 12/05/2025 08:56

I've helpfully given you the tools to find the material yourself. I'm not going to spoon feed you.

Well I tell you what, why don't you just highlight one or two papers or reviews that you feel were particularly influential at you reaching your current highly educated position?

Unfortunately this research area is full of poorly set up and low-powered studies and it would take me a long time to do a full literature search and sift down to the useful studies.

MyOliveHelper · 12/05/2025 09:03

Gloriia · 12/05/2025 09:00

This with bells on.

It is performing a massive mutilating op on someone who has mental health issues and believes it will make them something that they are not.

Anyone having their teeth done just wants straight white teeth. They don't believe it makes them a different person.

And sorry but I think many people having this cosmetic surgery do so because they think it makes them a more elite form of their gender. They're fitting more of the traits a worthy man or woman would have.

MrsOvertonsWindow · 12/05/2025 09:04

MyOliveHelper · 12/05/2025 08:59

So is much of the cosmetic surgery on yoing women who suffer from.their own forms of dysphoria. You think a young woman who believes that she needs big rubber lips and a massive arse to look good is mentally well?

So much body modification seems predicated on mental vulnerability. But there's a particular horror in healthy young women having double mastectomies, drugs that render them infertile and likely affect their brain and bone development and brutal experimental surgery leading to the catastrophic consequences detailed on here.

These are our children and young people and we need to do better to remove the dangerous adults pushing this stuff at them.

TheIceBear · 12/05/2025 09:04

MyOliveHelper · 12/05/2025 08:59

So is much of the cosmetic surgery on yoing women who suffer from.their own forms of dysphoria. You think a young woman who believes that she needs big rubber lips and a massive arse to look good is mentally well?

There are actually loads of threads on this topic on mumsnet if you look. I don’t agree with women feeling pressured to have those procedures either, but it is a different issue entirely. And the surgeries aren’t as extreme as having genitals mutilated.

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.

Gloriia · 12/05/2025 09:05

'You think a young woman who believes that she needs big rubber lips and a massive arse to look good is mentally well?'

Of course people aren't mentally ill if they have fillers, in the same way they arent mentally ill if they wear make up. I'm not a big filler fan but they don't think it makes them a different sex that is the issue. Injecting fillers again is not comparable to massive mutilating surgery which leaves a lump of useless skin and tissue dangling and all the potential complications of incontinence etc.

Chrysanthemum5 · 12/05/2025 09:06

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.

So anything people want done is ok? What about the women who can't have breast reductions even though they have debilitating back pain? Or the women who can't get a hysterectomy due to extreme pain as doctors say they might decide they want children later?

Giving people unnecessary and experimental treatments to try to fix dysphoria is insane

MrsOvertonsWindow · 12/05/2025 09:06

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.

Amazed you find all this funny but you do you I suppose.