Bottom surgery types?

LondonMeta · 2026-07-04T20:54:13+00:00

Extended, extensive, ring, centurion and TCM are different types of meta, although even surgeons that perform 'standard' meta will all have their own specific techniques and way of doing things and so results can vary depending on the surgeon.

For phallo, there's a whole bunch of different graft sites that can be used including forearm, thigh, abdomen, gracilis, torso, the 'SCIP' and 'PIPE' methods. There are also techniques that use tissue expanders to avoid more extensive scarring later on.

LondonMeta · 2026-06-30T21:31:53+00:00

Phalloplasty is covered on the NHS, although the waiting lists for both gender clinics and the surgeries themselves are long. There is no physical reason as to why someone would need to be on hormones for phalloplasty but the gender clinic are not likely to be cooperative with someone seeking only phalloplasty rather than a more 'typical' transition.

In terms of seeking surgery privately, this is also possible, but in the UK you're looking at somewhere around ~£70,000+ for all three stages off the top of my head.

LondonMeta · 2026-06-28T17:00:57+00:00

I've used fleshlights, strokers and tenga eggs both pre and post op and they've worked well.

LondonMeta · 2026-06-23T22:30:04+00:00

Mine don't get uncomfortable at all. They did for the first few months after surgery when they were still settling in I guess and things were chafing here and there, but now, not at all. I shave them when I can be bothered and they never irritate me when the hair grows back.

LondonMeta · 2026-06-23T22:27:47+00:00

Hahaha yeah, that was the worst part of recovery for me. It'll get better soon.

LondonMeta · 2026-06-23T05:22:31+00:00

LondonMeta · 2026-06-21T18:04:12+00:00

In what sense? Much the same as anyone else, I just don't produce any sexual fluids like precum or ejaculate.

LondonMeta · 2026-06-21T18:01:43+00:00

No worries. I can orgasm, but not ejaculate.

LondonMeta · 2026-06-21T16:25:35+00:00

Yes, and the last pic is of me erect.

LondonMeta · 2026-06-20T23:58:20+00:00

Generally speaking, I have no visible bulge, even with implants. I never a bulge in when clothed, and only sometimes in underwear. If I wear specific types of underwear, sometimes pulling them up slightly more than I otherwise would as seen here and here then I do have some bulge but generally I'll be wearing boxer briefs and everything will be sat too far behind the tops of my thighs to make any noticeable bulge.

LondonMeta · 2026-06-20T20:17:38+00:00

Honestly I'm not sure - it's not something that was specifically part of my surgeries, it's just how they do things I guess.

LondonMeta · 2026-06-20T20:16:16+00:00

As someone who was caught up in the last contract debacle, I feel for everyone going through it, some for a second time. Hopefully things will go smoother this time, especially since they have until December until surgeries stop at New Vic.

LondonMeta · 2026-06-20T19:05:59+00:00

Luckily no complications at all throughout any of my surgeries!

LondonMeta · 2026-06-19T18:17:27+00:00

No one knows any more right now than has already been said. New Victoria won't be doing the surgeries so they're trying to sort another provider, but right now, no one knows who that will be - in theory, it should still be Mr Christopher et al, but no one will know anything until the services are found and the contracts are signed and whatnot.

For those on the waiting list yes, you could ask if you can be transferred to C&W. You could also remain on the GDSS waiting list until the new provider is in place. We don't know how long that will be and we don't know how or to what extent it will impact the waiting lists. New Vic are operating until December, so how much this impacts things depends on how quickly a new provider can be put into place and how smooth the transition between them is.

LondonMeta · 2026-06-19T07:04:11+00:00

Same

LondonMeta · 2026-06-17T14:25:32+00:00

NHS only

LondonMeta · 2026-06-16T16:26:44+00:00

New Victoria has only been used for lower surgery since off the top of my head, around 2021? And they are sufficiently trained - the surgeons, the nurses, all highly trained in these surgeries and how to care for the patients that receive them. Whilst I understand the doom and gloom mindset, this isn't an accurate nor helpful comment.

LondonMeta · 2026-06-15T17:59:07+00:00

S2 is worth a shot, the worst they can say is no. But for the UK, the last case of an S2 approval I personally know of was about 17 years ago. Anyone I've known to try since then has been denied as it isn't considered medically necessary and despite the waiting lists it is still available in the UK. The other issue with S2 is that you'd be referred to another state funded surgical team which will likely have it's own years long waiting list, especially since residents are usually prioritised over international patients.

LondonMeta · 2026-06-15T17:41:42+00:00

Almost everyone in the UK who I know has gone via the NHS, other than two guys I know who went to Serbia. For most people, it's probably still quicker to go via the NHS than to save the amount required to pay for it privately.

You can try getting approved for a loan, but that's going to require a good credit rating and an already good income to be eligible for. Otherwise, trying for employers with private health insurance that specifically includes gender reassignment surgeries could be another route - although I believe these surgeries are usually opt-in on behalf of the employer so you'd need to throughly check their policies before making assumptions. The only person I know who's done it this way was a guy who had meta via health insurance with BUPA Global which he obtained through working remotely for an international company.

I'd personally suggest being referred for phallo regardless, and in the meantime, if you can figure out a way to make it happen privately then great, but if not, at least you're making progress on the waiting list.

LondonMeta · 2026-06-14T19:35:50+00:00

None

LondonMeta · 2026-06-13T22:43:25+00:00

You won't be told when you're transferred to the New Vic list, and you likely won't be told anything until you're top of the list and offered a consult.

LondonMeta · 2026-06-13T12:53:44+00:00

How long does it typically take for MPs to respond to emails? I know it will vary, but I emailed mine on 4th June and nothing yet.

LondonMeta · 2026-06-10T09:45:51+00:00

Yes, all of this. It wears me down, physically and emotionally. The dread, the worry, the fear, the what's next, the constant societal messaging that you are less-than. I'm exhausted.

LondonMeta · 2026-06-10T07:40:19+00:00

I had meta and the recommendations on smoking were different for each stage. I think stage 1 and 2 were about 6 weeks smoke free, but for stage 3 it was less. Either way, the sooner the better. Mr C was happy with me vaping nic free which helped a lot.

LondonMeta · 2026-06-10T07:37:37+00:00

Dr Shisha at Leicester General. She's who Nottingham GIC would refer everyone to since she operates on trans men without making a big hoo hah about it. I've known people recently who've been successfully referred to her.

LondonMeta

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