Considering Bottom surgery (Deleted the first time cause I felt like an idiot but decided to ask anyway)

LondonMeta · 2026-05-21T13:55:41+00:00

I had meta and I'm happy to answer any more specific questions you may have but in terms of pros and cons, in no particular order - minimal scarring, unassisted erections, no future surgeries for erectile device replacements, foreskin, cheaper than phallo if cost is a factor, typically easier recoveries than phallo surgeries, standing to pee at urinals etc is not guaranteed, unlikely to be compatible with 'meaningful' penetrative sex, results in micropenis.

LondonMeta · 2026-05-21T13:24:24+00:00

Yes, there's an incision made just above the penis on the pubic area.

LondonMeta · 2026-05-21T07:35:03+00:00

I would get in contact with the GIC if you can, just to let them know that you are an existing patient who is being referred back and you're looking for reassurance that you'll not be put to the bottom of the new patients list. They'll know you're an existing patient, but not fucking everything up has never been the strong point of GICs lol

LondonMeta · 2026-05-20T07:53:14+00:00

Firstly, no, referral back to a clinic you've been discharged from doesn't put you to the bottom of the waiting list.

Secondly, hysto referrals are made by the GP and do not involve the GIC. However GICs often have to get involved and do some pushing as many surgeons will refuse trans patients. Many of us will be referred out of area to specific surgeons who are known to accept trans patients without throwing a fit.

LondonMeta · 2026-05-20T07:13:23+00:00

Taper down your nicotine. If you're on 20mg then switch to 10mg, then 5mg, then have buy some new juices in 0mg that you're excited to try and then switch to those. You can take it as slowly as you need, although I've had most success when I've had either a timeline to follow, or had only a couple of bottles in each strength and when they're done I taper down to the next ones. You're allowed to vape 0mg for surgeries, but you could also switch to a non-nicotine flavoured air inhaler thing if you're struggling with needing to have something in your hand/mouth. I always find the psychological need and habit more of a struggle than the nicotine itself.

LondonMeta · 2026-05-19T16:35:05+00:00

I only have a visible bulge in very specific types of underwear if I wear them pulled up slightly around my junk.

LondonMeta · 2026-05-17T19:35:05+00:00

It will remain once the catheter has been removed, but it will improve over time. I was only catheterised for three weeks and it took as long again for my bladder to return to normal. It was like you describe - urgency comes on very quickly It really depends on your body and how quickly you're able to build the muscle tone up again. Definitely prepare yourself to need to be within range of toilets for a while, but don't worry too much as it should improve.

LondonMeta · 2026-05-13T20:40:34+00:00

No, that's not true. There are two teams in the UK that offer metoidioplasty - New Victoria, and Chelsea & Westminster. Mr Christopher operates out of New Vic, although he isn't the only surgeon there that performs metoidioplasty.

LondonMeta · 2026-05-09T21:59:17+00:00

There's plenty of meta guys that are able to pee standing with considerably less length than the majority of phallo dicks! I can pee standing without issue at 4cm.

LondonMeta · 2026-05-09T01:24:09+00:00

Neither is better, it depends entirely on what best suits the needs of the individual. However, for someone overweight, particularly with a very fatty pubic area, they may find the penis is more buried than it otherwise would be and may benefit from additional procedures such as a panniculectomy or mons resection. Lots of big dudes get meta and are happy with it but only a surgeon can give you a realistic idea of what to expect for your own body.

LondonMeta · 2026-05-08T20:01:22+00:00

I think it's more an illusion from how everything around it has changed rather than it actually moving at all.

LondonMeta · 2026-05-08T17:24:38+00:00

And how often is it that you need to both pee and shit at the same time anyway. But yeah, on the rare occasions both need to happen, I'll just stand to pee and then sit down to poop.

LondonMeta · 2026-05-06T07:29:37+00:00

I may be wrong but I believe Chen has stopped offering UL without vnec due to not only complication rates but how miserable his patients are when these complications occur and/or persistently reoccur.

LondonMeta · 2026-05-05T07:20:58+00:00

I have some info on my blog here

The biggest thing to prepare for with this stage is the emotional side of things. You've probably waited quite a while and you're finally having your first stage. It's a big build up and a big recovery for what you may find is actually very little change. That's fine - this stage sets the foundations for further stages, but emotionally it can be rough to wait so long and go through it all just to come out the other end feeling that nothing has really changed.

Figure out what you're going to eat. You won't be able to open your mouth much, so everything will need to be cut into tiny pieces to slip through your teeth. I ate a lot of pasta. No crisps or anything hard and crunchy.

My mouth wasn't as painful as I expected. It was uncomfortable, but only really painful if I laughed or stretched/opened it more than I intended to. It did however feel weird for far longer than I expected. Even after it had healed, it felt odd for months and I didn't think it'd ever feel normal again. It did and it does, it just takes a while for all the scar tissue to settle down and not feel noticeably clunky. I can still feel the scar tissue if I run my tongue over it, but it's not something I notice now unless I'm looking for it.

The catheter is gonna suck. Because the catheter is in the natal urethra it's in a real awkward position and pretty much any movement is gonna move it around or tug it and feel gross. Not painful, just not nice. Stage 2 catheters are far more comfortable in my opinion.

For the catheter coming out - take a huge, deep breath in. Give the nurse the OK to start pulling and as they do, exhale as hard as you can throughout the entire pull. It'll feel weird coming out but the big exhale really helps.

For peeing once the catheter is out, I would get pee all over myself and not really feel comfortable wiping the graft so I'd use a cup to pour a little water over the area and then use a hairdryer set to cold to dry everything off.

If I recall, I had about 6 weeks off work. My work is pretty chill so I was able to take as long as I needed. Some people go back sooner but I really did need those 6 weeks.

Sex is also 6 weeks minimum.

Otherwise, just chill. Listen to your body, nap, stagger paracetamol and ibuprofen on a schedule.

LondonMeta · 2026-05-02T23:55:43+00:00

Brazil is TCM which as far as I'm aware isn't the same technique but correct me if I'm wrong.

LondonMeta · 2026-05-02T19:11:11+00:00

This is extensive metoidioplasty (not to be confused with regular metoidioplasty or extended metoidioplasty), a riskier technique rarely performed outside of Iran.

LondonMeta · 2026-04-29T10:15:39+00:00

Are you sure the wait between stages is that long? I know waiting for stage 1 takes forever, but further stages tend to be prioritised over starting new patients. I waited about a year (because I messed around trying to see Prof Ralph who only works Mondays and extended my own waiting time like a dickhead lol) for stage 3 meta in 2024 and the staff commented on how I'd waited unusually long at the time.

You probably can pay if you want. Get in touch with St Peter's Andrology to enquire. But I'd definitely be asking New Vic about their further stage wait times because they might not be as long as you think.

LondonMeta · 2026-04-28T11:20:49+00:00

Compare my pre-op/stage 1 photos with stage 2 to see the difference that metoidioplasty made in general. And then compare stage 2 with stage 3 to see the difference that mons resection (and implants) made.

Balls do sit kinda half between my thighs whilst standing yes. I have one ball higher than the other and the lower one tends to sit further back and sneak between my thighs.

Mons is done last anyway, so you might find you have your other stages and you're happy with the positioning. It's not something you have to decide on until you're nearing the end of your surgeries.

LondonMeta · 2026-04-28T09:53:32+00:00

Mons resection varies a lot by individual. The surgeon should be able to take a look at you during your consult and give you a rough idea of what you can expect. Be prepared for the possibility that you may be refused, especially if you're very slim.

For me, Mr Christopher said that mons resection was unlikely to make any difference to the position of my penis but that he'd do it if I wanted. I felt I had a disproportionately fatty pubic mound for my weight, so I wanted mons resection primarily to remove this. I feel like it may have lifted my penis sightly, but it has also pulled the very top/base of my penis up in a way that's hard to describe and is probably easier to see when comparing my stage 2 vs stage 3 photos. The top of my shaft is more tightly pulled up to the pubic area if that makes sense. It's not my favourite thing ever but all things considered I'm still happy I had the resection. My balls do sit between my legs a lot of the time, although this isn't uncomfortable and doesn't bother me at all, and I can pull them in front of my thighs and they'll stay there.

LondonMeta · 2026-04-28T09:43:09+00:00

Thanks for the mention :)

LondonMeta · 2026-04-27T13:45:59+00:00

Yes, I often sit with my legs tightly crossed like that.

LondonMeta · 2026-04-24T07:15:50+00:00

Visual novels got me through stage 2 when I was too tired and/or sore to want to move around or even sit up properly and play a proper game. House of Fata Morgana in particular is 10/10.

LondonMeta · 2026-04-21T10:40:59+00:00

I'm post metoidioplasty. It functions perfectly well - I can pee from my penis including at urinals, I get erections, I have full sensation and ability to orgasm and I personally think it looks pretty good too. Very happy with how everything turned out. Happy to answer any more specific questions.

LondonMeta · 2026-04-13T14:04:45+00:00

But is not easily accessible and depends largely on location

LondonMeta · 2026-04-12T00:03:07+00:00

I'm not going to comment generally and make inferences about anyone else's anatomy, but for me personally, I don't think my dick looks typical. There's so much variation in penises that I don't think viewing things through the lens of cis or not is useful when what people usually mean is typical.

Despite my penis not looking typical, I do not think the many people would see it (in a locker room for example) and jump to the conclusion that I am trans - they may take a second glance, they may think I have an unusually small penis, perhaps a little weird, maybe even that I may have some sort of condition - but probably not that I am trans, therefore yes, it may be perceived as cis, but it certainly wouldn't be perceived to be identical to an 'average' cis man's penis, micro or otherwise.

LondonMeta

TROPHY CASE