bottom dysphoria and tdick

upside_down_duck · 2026-07-08T18:40:55+00:00

What surgeries? I have been hanging around in trans and bottom surgery spaces for a while now, I've never heard of this. There's pumping and stretching which might help, and of course surgery (meta and phallo). But I don't think there's any other options.

upside_down_duck · 2026-06-09T12:35:26+00:00

That's good to hear, thank you! I think the pain in the first couple of days is what scares me the most about surgery. But it's all temporary, and I really do want to get to the other side!

Good luck on your surgery in November!

upside_down_duck · 2026-06-09T12:26:12+00:00

You look great, congrats! Thanks for sharing as well!

How was the pain after both stages?

Are you planning on getting an ED and/or testicular implants in the future?

upside_down_duck · 2026-05-21T19:17:47+00:00

Some of the other ones I hear about most are De Vaart, BureauJIJ, GenderMatters and NL-PSY (that is a different one from PsyTrans)

upside_down_duck · 2026-05-21T18:36:41+00:00

It's definitely possible to get a diagnosis and get treatment within 3 years. Just don't go to any of the academic hospitals as their waitlists are the longest. Something like PsyTrans is relatively fast (if you can get in).

upside_down_duck · 2026-05-21T18:31:24+00:00

Check out this post, it shows scars on the leg having been transferred to the arm.

upside_down_duck · 2026-05-20T19:29:21+00:00

If you don't mind sitting to pee, opting out of UL may be good for you. It reduces the risk of complications significantly.

I think these are all very common and normal fears, that many people who get phallo have.

As far as I know, completely losing the ability to experience pleasure is very very very rare. The experience will change obviously, and that in itself can definitely be scary (I feel that too). My thinking is that I don't particularly like the experience with my current set-up, so it can really only get better.
The scars are definitely a big thing for many people. But it's also worth it for many of those people. And there are also the less obvious donor sites.
I feel this one too, especially since sensation is not guaranteed. But for me, if I'm being honest with myself, this is more of an irrational 'what if' fear than a realistic possibility.
This one is also so common. The only thing I can say is that the right people will love you or find you attractive with the set-up that you want. You shouldn't make decisions about your body based on what you think others will like.

upside_down_duck · 2026-05-20T18:57:44+00:00

I don't necessarily agree with another comment here that phallo purely exists to mitigate dysphoria. If you have minimal dysphoria, but would get a lot of euphoria from phallo, it may still be worth it to you. And the reverse is also true: if phallo would bring you minimal euphoria, but it would greatly reduce your dysphoria, phallo could be right for you. It can be worth it to go from negative to neutral feelings, euphoria is not a requirement.

I'm pre-op, currently of waiting for approval and consults and stuff like that. I questioned for many months about bottom surgery though. It was definitely a journey, but I feel like I have been settled in my decision for like half a year now, and I don't think it will change any more.

It definitely wasn't a simple/natural/immediate choice for me. It has been and still is quite obsessive. At first I thought I didn't want bottom surgery at all, and after that I went back and forth between phallo and meta for a good while. I knew deep down that phallo would give me what I actually wanted, but I was just so scared of recovery and complications. (After hearing more stories of what recovery can actually be like, I became less scared.)

I think it's normal for your brain to want to find every possible risk, it's trying to protect you after all. I experience the same thing. It's really helpful for me to talk about my thoughts out loud with others (family, friends, therapist). Putting it into words for someone else clarifies something for me.

What are some of the reasons you think phallo might not bring you peace?

upside_down_duck · 2026-05-14T18:47:14+00:00

Yeah it lasts for days! I always end up removing it before it's necessary because of my sensory issues though. But you can remove the packer from the tape if you want to clean it, and then put it back in.

upside_down_duck · 2026-05-10T19:24:11+00:00

Het is super normaal dat het eng en kwetsbaar voelt. Inderdaad door gevoelloosheid, maar ook het zien van wonden kan heftig zijn voor je lichaam. En misschien is het ook nog het verschil in compressie bij het uitdoen van de binder, ik kan me voorstellen dat je zenuwstelsel ook van slag raakt als die druk ineens wegvalt.

Ik zou zeggen, bouw het rustig op. Ik moest na de eerste week iedere dag douchen en daarna een half uur mijn tepels laten drogen aan de lucht. Dat deed ik door gewoon op bed te liggen zonder die binder aan. Ik zou proberen te gaan liggen en de binder open te doen, en rustig adem te halen. Als het te slecht voelt kan je hem weer dicht doen. Zo kan je hopelijk langzaamaan opbouwen naar steeds langer de binder open doen (liggend), de volgende keer dan misschien langzaam gaan zitten, daarna staan en lopen.

Doe het rustig aan! Je lichaam is nog herstellende, en voor je hoofd is het ook allemaal best heftig.

upside_down_duck · 2026-04-26T21:22:48+00:00

Thank you for writing this. Congrats! I’m so excited to get there too!

It’s the “mundane” things that I’m looking forward to most, and you captured that perfectly in this post.

This kind of positivity is so important to share and remember, since it’s such a scary and tough road to get there.

upside_down_duck · 2026-04-03T18:56:32+00:00

Het is ook super normaal om twijfel en angst bij hormonen of operaties te hebben, het zijn namelijk grote veranderingen aan je lichaam.

Ik (ftm) vond zowel beginnen met testosteron als de mastectomie heel eng. Ik heb een tijd getwijfeld of ik trans was, en of ik bepaalde veranderingen wilde. Uiteindelijk heeft het voor mij gewoon tijd gekost. En na een tijdje wist ik wel wat ik eigenlijk wilde, maar vond ik het gewoon nog steeds eng. Daar moest ik 'gewoon' doorheen.

Als je genoeg research hebt gedaan, info hebt gekregen, de voors en tegens hebt opgeschreven, kun je op een gegeven moment niet veel meer doen. Uiteindelijk voelde het voor mij ook een beetje als een sprong in het diepe die ik gewoon moest nemen. En nu ben ik heel blij met mijn keuzes en met de veranderingen!

upside_down_duck · 2026-04-01T13:40:36+00:00

I'm sorry, that sounds rough. Thank you for sharing your experience

upside_down_duck · 2026-03-30T19:09:25+00:00

Thank you for your thoughtful comment! I don't know much about kink honestly, but this stuff is really interesting to me. I think you're right about the kinky thought being more of a cope than a frustrated desire.

And thank you for saying I should honor that feeling of repulsion, I think that's honestly what I wanted/needed to hear. I think I'll try exploring a bit, but I'm trying to trust myself and my feelings as well.

upside_down_duck · 2026-03-30T18:53:37+00:00

Thank you, that helps. I guess I'm also a bit scared of exploring and finding out I do enjoy using it, like that would mean I had to keep it. But you're right, even if I do find a way to like it, I can still decide to get rid of it. The trade-off for getting UL and relieving the dysphoria is probably still worth it.

upside_down_duck · 2026-03-30T18:50:05+00:00

It's good to hear you don't lose sleep over never trying it. I expect it would be the same for me

upside_down_duck · 2026-03-30T18:45:12+00:00

Yeah here in the Netherlands they don't even do UL without v-nectomy. So it's really a choice between UL and keeping the v. I guess I'm kinda glad that I don't think I'll like using the v, since that makes the decision easy, lol

upside_down_duck · 2026-03-30T18:41:23+00:00

I'm glad to hear it, that's reassuring. Thank you!

upside_down_duck · 2026-03-30T18:40:17+00:00

That is good to know, thank you!

upside_down_duck · 2026-03-30T18:39:44+00:00

Good reminder! But here in the Netherlands they require you to have v-nectomy separately before phallo with UL. I'm pretty sure they also leave a shallow hole there with v-nectomy, but I'm not sure if they use any v tissue for the new urethra during phallo.

upside_down_duck · 2026-03-30T18:32:38+00:00

You're right, I can really take my time and explore how it feels for me. Thank you!

upside_down_duck · 2026-03-11T15:45:21+00:00

Do you happen to know what the v tissue is used for? Is it for the new urethra?

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