There is no way that a person with a neovagina experiences sex in the same way as a natal woman does. The neo and natal vagina and clitoris are just not wired the same.
Delphinium20... I think the best thing to do is present people with 100% facts, not twee euphemisms like 'bottom surgery'.
('m sorry if you already know all this, but...)... Here's the 'facts' (as far as I can gather)...
This 'M2F sex reassignment surgery' (SRS) is expensive (around 30K if you go private), takes around 4-5hrs to perform, and between 3-21% of surgeries have some degree of post-operative complications such as meatus stenosis (pee hole becomes so narrow you can't pee properly), clitoris necrosis (neo-clitoris goes black and falls off) to name but a few. (the abstract of the french study (labelled scence2) at the end of my rant (!) outlines some issues and their percentages).
There's a few different surgical techniques to create a neovagina and some of them are better than others, both in terms of visual effect, cost, and possible post-operative complications.
All of them start out with...
an orchidectomy (removal of testicles).
All of the surgical techniques keep the pee opening (called meatus) intact to maintain the urinary tract. Some people opt for a clitoroplasty which can be artificial and purely cosmetic (if the surgery is performed after the initial surgery or if the initial surgery goes wrong and it falls off) yet most people seem to be offered a functional clitoroplasty during the initial surgery. They use a flap of skin from the head of the penis (called a sensate flap graft) to create this neoclitoris. Some surgeons trim this neo-clitoris to be as small as possible, some surgeons leave it larger. There is a big risk for necrosis here, and as this is where people pee, a risk for infection, too. If the procedure goes wrong, then people risk becoming incontinent/having no 'clitoral' sensation.
Some surgeons use only penile inversion to create the neovagina, and internally create a 'walled space' using the same split in two penile tissue. This results in a 'short' vagina, of around 3-5 inches long. These were probably the 'earlier' neovaginas. There is less infection risk with this procedure, but penetrative sex is less satisfying for the partner if the partner has a penis and there may be some discomfort for the person with this type of neovagina. Some people report hairs growing on the inside of their vaginas, mainly due to incomplete laser treatment for the odd stray hairs some penis' have, and this can increase risk of infections down the line. Some people also experience an inversion collapse which visually appears like prolapse (the inverted penile tissue is visible outside of the vaginal opening) and which needs corrective surgery.
Surgeons usually use laser-treated scrotal sac tissue to create labia majora and these labia are sometimes filled with medical grade silicone/or patients fat/or implants are used to create plump artificial labia majora. Most of that is not needed, and some surgeons simply use a folding technique. Some surgeons will also create labia minora, but these are always 'porn-star pussy' style; neat, tucked in, barely visible minora. Some surgeons use 'skin expander' type techniques to better mimic the smooth, plump labia majora of natural vaginas, and some surgeons offer a technique called 'peno-scrotal flap technique', which means a flap of penis skin is used to create the labia, which cosmetically looks more natural as there's colour variation due to penile skin being slightly darker than the surrounding flesh.
Some surgical techniques create the 'walled space' with part of the sigmoid colon, which is an older technique now, and which can result in some people's neovaginas smelling like faeces (the smell is caused by indole type secretions from the colon) . Some people also report expelling 'balls' of brown 'mucus' and experiencing strange 'pulsating' type sensations in their neovaginas. (Colons naturally contract, but in people who have conditions like IBS, this happens in a painful, irregular way). This 'sigmoid colon' technique is often used in corrective surgeries when penile inversions 'prolapse'. The benefit to using the colon to create the 'tunnel' is that the vagina is then stronger, longer, (around 8 inches) and has better stretch. Infection risk is higher in this procedure, for obvious reasons.
The more modern technique in initial surgery is to use laparoscopically harvested peritoneum (which is basically stomach-lining) to create the 'walled space', which has the benefit of secretions which do not smell of indoles, so a more 'natural' lubrication.
All of the neovaginas need to be dilated post-surgery, and this is not a pleasurable task, especially in the beginning when everything is tender. Eventually you taper off the dilation, from (sometimes) twice a day to 2 or 3 times a week for the rest of your life.
There may well be infections issues for life, too. Although neovaginas created with peritoneum do have some natural lubrication, they do not truthfully 'get wet', nor do they have the same ph level (vaginas have a ph of 3.5 to 4.5) or bacterial flora found in natural vaginas which means that organisms which would usually happily live in an ordinary vagina can become overgrown/problematic in neovaginas. Neovaginas are more likely to have BV, (bacterial vaginosis) and they do not have the lactobacillus natal vaginas have. They do not seem like vaginas, but more like 'guts' (see science1).
If you want to see how bad it can get, then visit www.neovaginadisasters.com
this site is NSFW, nor is it for the faint hearted, and nor is it a site designed to 'laugh' at people who have had poor outcomes. There are some pictures on the site that evidence poor outcomes, and which do not look like the 'before and after pictures' you can look at on ordinary 'SRS Clinic' websites.
(science1: The neovaginal microbiome of transgender women post-gender reassignment surgery, at:
microbiomejournal.biomedcentral.com/articles/10.1186/s40168-020-00804-1
(science2: Postoperative complications of male to female sex reassignment surgery: A 10-year French retrospective study, at:
pubmed.ncbi.nlm.nih.gov/30269882/
I think people need all the information before they make a decision. And that includes the bad, the risks, the awful photos because depending on where you live, depending on where you get your surgery, depending what surgeon you get, if it goes wrong it can go drastically wrong.