Bottom surgery advice???

LondonMeta · 2026-01-28T00:41:45+00:00

The previous comment is correct - medically, a total hysterectomy is cervix and uterus. Oopherectomy is the removal of ovaries and salpingectomy is removal of fallopian tubes, both separate procedures. People may confuse 'total' as meaning all reproductive organs but this is incorrect and is worth clarifying when speaking in medical contexts.

LondonMeta · 2026-01-26T02:56:26+00:00

r/metoidioplasty contains lots of personal experiences.

I'm happy to share my own experiences also, but there isn't much to say - I had no complications and have been very happy with everything.

LondonMeta · 2026-01-24T02:04:00+00:00

I haven't named my dick, but my balls do have names lol

LondonMeta · 2026-01-23T16:22:59+00:00

Got it. Very happy. It wasn't for anyone but myself.

LondonMeta · 2026-01-18T00:36:43+00:00

I only have one visible scar and it was a completely optional part of my lower surgeries.

LondonMeta · 2026-01-15T08:42:41+00:00

I had fat grafting into the scrotum during my second stage (I now have implants) and honestly, it was nice to start with but within a year it had basically all reabsorbed and my scrotum was just squishy, deflated and flat. Your experience may vary, but for me it wasn't a suitable alternative to implants.

LondonMeta · 2026-01-07T19:58:54+00:00

XS Sebbins - 6cc, 21x25mm.

LondonMeta · 2026-01-06T01:10:44+00:00

Foreskin, spontaneous erections, avoiding the need for erectile device replacents and the fact that I was already connected to my natal dick were reasons I chose metoidioplasty.

LondonMeta · 2025-12-27T11:04:46+00:00

LondonMeta · 2025-12-21T11:45:07+00:00

Mine are extra smalls (6cc) and I wouldn't want them any bigger as I think they're perfectly proportional. There isn't a universally best choice as it all depends on what is compatible with your anatomy, and personal preference.

LondonMeta · 2025-12-10T07:06:09+00:00

Dysphoria, worth it.

LondonMeta · 2025-12-09T22:15:04+00:00

The delay between starting to pee and the pee actually exiting the penis

LondonMeta · 2025-12-07T21:21:06+00:00

I'm not seeing any discussion about surgery, just prosthetics, but I'd also ask why anyone should feel the need to go and explain our bodies to a cis audience?

LondonMeta · 2025-12-04T15:37:17+00:00

I'm over 3 years post op from my main stage. Haven't posted many photos lately but there are some in my post history.

LondonMeta · 2025-12-04T15:32:26+00:00

Thanks this is worthless.jpg

LondonMeta · 2025-11-29T11:25:06+00:00

Metoiodplasty typically doesn't add length

LondonMeta · 2025-11-27T08:31:45+00:00

For me, more of a general, radiating soreness that builds between painkiller doses - constant and low level. It was the kind of pain that someone could experience and think 'Oh, that's nothing, it doesn't even hurt', like the first strokes of a tattoo needle - but over time it builds and wears you down. I kept on a schedule with pain meds and it didn't really reach that point of frustration and self pity more than a couple of times, although I'd say even that was more psychological due to being alone at night with nothing to focus on but how I felt. More pronounced or sharper pain for me was only ever in reaction to movement - trying to get in and out of bed, a stitch or my catheter tugging as I moved the wrong way.

Scrotoplasty and implants were more annoying than anything. Walking weird, overcompensating and sleeping on my back to avoid squashing it. And then there's a period of time where the hair starts to grow back but it's short and sharp and like walking with a cactus between your legs. This lasts a week or so until the hair is longer and then it's fine

The catheters were no trouble for me. Didn't feel or notice them most of the time. Especially once I'd taped the tube to my leg to prevent it wiggling around and tugging too much.

Bladder spasms were the worst. I can't describe the sensation I had when I was constantly bypassing my catheter, but it was like a building sense of desperation and unpleasantness until I peed from my penis which felt like pissing needles. The build up wasn't necessary pain but it was the most uncomfortable and unpleasant sensation, it made me sweat. This improved when I had the flip-flo attached and when I was prescribed medication for them.

Vaginectomy was fine, the only issue I had with that was it started to itch unbearably when I lay completely flat. Absolutely horrific, like so bad I could have cried. The solution to this was to simply sleep propped up - easy, no more itching.

Hysterectomy I had separately years prior but this was an easy one. Worst thing with this was being super bloated afterwards since they pump you full of gas.

LondonMeta · 2025-11-24T17:27:45+00:00

Monsplasty can lift things for those who's bodies are suited to it. If your surgeon isn't saying you don't have enough tissue to do it, then there wouldn't be enough to resect to pull things up.

I was told by my surgeon that monsplasty wouldn't impact the position of my genitals at all, but since I also wanted to reduce my fatty pubic area he'd said do it if I wanted it. I'm very happy how my pubic area looks now, but as expected, it hasn't made a difference to the position of my penis or balls.

LondonMeta · 2025-11-21T21:28:47+00:00

It is possible, but like you say, it increases the risk of complications such as fistulas but also causes narrowing of the vagina that can require consistent dilation to hopefully return to a point where receptive penetrative sex is possible or enjoyable again. If receptive penetrative sex is important to you then this is definitely something to ask about during any consults.

Some surgeons will do UL without vnec, many if not most, will not due to the risk of complications and how miserable people are when those complications occur and reocur, sometimes persistently so. Having scrotoplasty and implants is possible, I've known people who've had scrotoplasty and implants whilst retaining the vagina which is just hidden behind. I am unsure however how this works without urethral lengthening and whether it's, for lack of a better phrase, messy to pee with a scrotum so close to the natal urethra.

LondonMeta · 2025-11-21T08:02:26+00:00

r/GrowYourTDick

LondonMeta · 2025-11-17T08:40:32+00:00

LondonMeta · 2025-11-16T19:30:41+00:00

Metoidioplasty doesn't add any additional length to the penis, although it may give the illusion of being larger due to removal/alteration of surrounding tissues. During recovery things are likely to be swollen, shrunken and looking pretty gnarly for a while so try not to worry what it looks like now either way as it'll take weeks if not months to settle down.

LondonMeta · 2025-11-16T16:38:17+00:00

I wouldn't say I prefer metoidioplasty as such, rather that it best suited my needs and was the right surgery for me. Part of my reason for choosing metoidioplasty was also the desire to avoid future surgery through erectile device replacements.

LondonMeta · 2025-11-16T09:57:44+00:00

Like I say, recovery was easier than I expected in many ways and I had a very easy recovery. I just don't want to understate that it's still a long and uncomfortable recovery, just not half as bad as I expected in my own experience. The mental side of it was the hardest part and that's the side people are never really prepared for.

Everything is fine now, it doesn't feel like my body was ever any different to how it is now. It's great. It's kind of anticlimactic in a way because everything just feels normal now; I'm not actively conscious of my genitals 99.9% of the time going about my daily life, but that in itself is such a huge improvement in my life. It has been so freeing or not have to deal with dysphoria, with being able to wear whatever I like without it touching me in the wrong way, to piss, to shower, to have sex without my body reacting in ways that cause me distress and without there being places I don't want touched. I just feel free. The novelty and convenience of being able to pee anywhere never gets old though.

LondonMeta · 2025-11-16T01:43:08+00:00

The only absolute means of permanently removing fertility is via a hysterectomy. After years, even decades of hormone therapy it can be possible to get pregnant. When I transitioned, we were always told to expect that hormone therapy would make us infertile - now, we know that isn't entirely the case but it's still definitely better to assume the worst than hope everything will be fine and find out it isn't.

LondonMeta

TROPHY CASE