What CT's trans students should know about bottom surgeries
The substantial risks, and steep costs
Little kids love to pretend. But as secularized schools continue to embrace what amounts to pretending on gender, students are far from being informed of the substantial risks—should they decide to tread down the path of bottom surgery.
Bottom surgery is not for the faint of heart, nor for the faint of wallet. Costs can run well into the hundreds-of-thousands of dollars — not including any lawsuits filed against schools (epicenters of the mental health industrial complex) for “failure to protect” from harm.
Phalloplasty
Girls wanting to alter their genitals should be forewarned about the risks and consequences. Bottom surgery—known as phalloplasty for females—is still largely an experiment, with many failures and substantial health risks. Those risks include severe infections, irreparable scarring, permanent sterilization, and yes, even death.
******WARNING: GRAPHIC IMAGES and DESCRIPTIONS BELOW*******
Phalloplasty techniques continue to evolve with the fields of plastic surgery and urology. Currently, the gold standard phalloplasty procedure is known as a radial forearm free-flap (RFF) phalloplasty. During this procedure, surgeons use a flap of skin from your forearm to build the shaft of the penis.
A phalloplasty, specifically, is when surgeons turn a flap of donor skin into a phallus. But generally, it refers to a number of separate procedures that are often done in tandem. These procedures include:
a hysterectomy, during which doctors remove the uterus
an oophorectomy to remove the ovaries
a vaginectomy or vaginal mucosal ablation to remove or partially remove the vagina
a phalloplasty to turn a flap of donor skin into a phallus
a scrotectomy to turn the labia majora into a scrotum, either with or without testicular implants
a urethroplasty to lengthen and hook up the urethra inside the new phallus
a glansplasty to sculpt the appearance of an uncircumcised tip
a penile implant to allow for erection
There is no single order or timeline for these procedures. Many people do not do all of them. Some people do some of them together, while others spread them out over many years. These procedures require surgeons from three different specialties: gynecology, urology, and plastic surgery.
Vaginoplasty
Boys wanting to alter their genitals, should be forewarned about the risks and consequences. Bottom surgery—known as vaginoplasty for males—is still largely an experiment, with many failures and substantial health risks. Those risks include severe infections, irreparable scarring, permanent sterilization, and yes, even death.
******WARNING: GRAPHIC IMAGES and DESCRIPTIONS BELOW*******
First, surgeons construct a vaginal cavity between the rectum and the urethra. The procedure is complex, involving delicate tissue, vasculature, and nerve fibers. Here are some of the broad strokes:
The testicles are removed and discarded.
The new vaginal cavity is carved out in the space between the urethra and the rectum.
A penile prosthesis (surgical dildo) is inserted into the cavity to hold the shape.
The skin is removed from the penis. This skin forms a pouch which is sutured and inverted.
A triangular piece of glans penis (the bulbous tip) is removed to become the clitoris.
The urethra is removed, shortened, and prepared for repositioning before the remaining parts of the penis are amputated and discarded.
Everything is sutured together and bandages are applied. The whole procedure takes two to five hours. The bandages and a catheter typically remain in place for four days, after which time postoperative steps should be taken.
You’ll be given a vaginal dilator to begin using as soon as your bandages are removed. This dilation device must be used daily for at least one year to maintain the desired vaginal depth and girth…..Typically, you’ll insert the dilator for 10 minutes, three times per day for the first three months and once per day for the next three months.
Then, you’ll do it two to three times per week for at least one year. The diameter of the dilator will also increase as the months go by.
The average cost for a penile inversion vaginoplasty is around $20,000 without insurance. This includes a few days in the hospital, plus anesthesia. However….if you want a secondary labiaplasty, the costs increase.
Many people who get vaginoplasties also undergo breast augmentation and facial feminization surgeries, which are very expensive. You should also keep in mind the cost of electrolysis, which can add up to thousands of dollars.
Scars, regrets…and suicides
But the biggest risk to trans youth isn’t surgical.
While parents are told about their “crime” of dead-naming, enduring the gaslighting that Johnny or Susie “will kill themselves” if they don’t acquiesce, the reality is bearing out the tragic truth: the risk of suicide jumps 19 times higher if incongruous feelings persist after surgery. And many times, they do.
The worst-case scenario — surgery becomes the wake-up call. “Hi, you’ve been duped by every school counselor, social worker, and health official. Oh and by the way, you’re permanently sterile, will never experience orgasm, have kids, or a steady sexual partner.
Infections and pain for life; pharma’s got you as a lifelong customer. You’re now this uh, mish-mash of body parts that really doesn’t belong here anymore.”
Myth-busting at 60 Minutes
Detransitioners are, perhaps ironically, the most marginalized. Without warning, they receive no more support from trans or LGBTQIA++ community.
If “gender affirming” counselors, social workers and health workers were the Titanic, lawsuits are the icebergs, already sinking careers and ivy league institutions that boasted the Trans Religion was “unsinkable”.
There are resources for those experiencing regret after surgery; one that has emerged is at sexchangeregret.com. Author and speaker Walt Heyer lived for 8 years as a woman, and now helps others journey out of Trans.