this post was submitted on 16 Apr 2026
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20
Surgery Questions (lemmy.blahaj.zone)
submitted 3 days ago by MissesAutumnRains@lemmy.blahaj.zone to c/mtf@lemmy.blahaj.zone
NSFW 16 comments fedilink hide all child comments
 

Hey hey all! TW about surgery questions regarding SRS parts and stuff like that.

spoilerI have a question that I don't really know where else to ask. I have a specific set of dysmorphic concerns. Not everything kicks off the feelings, but some things always do.

One of the things that always triggers the feeling is testicles. I fucking hate having them, seeing them, feeling them. It's easily among the worst (or tied for the worst) things to deal with. I've looked at the possibility of seeking an orchiectomy, but a very small part of me is afraid that doing something like that but not going for "full SRS surgery" will just cause people to treat me differently. The question is only becoming a bit more real lately to me now that I may have the opportunity to actually get the surgery in the coming year or two.

Maybe it's a bit silly or whatever and I know gender and all of this is really complicated and more just up to us individually, but I guess I'm just curious what others think about all of this.

Has anyone done similar? How has it changed your dating life afterwards? Has it affected you in other ways? What kinda considerations are there for something like this?

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[–] irotsoma@piefed.blahaj.zone 8 points 3 days ago

I got vaginoplasty, but even with that it's not 100% the same as being a cis-woman, and there are still prejudices to deal with. There are some scars, arousal doesn't produce lubrication, etc. The differences are minor, but prejudices can blow them out of proportion no matter which way you go.

And if you totally pretend to be cis, you're probably not going to be satisfied by partners. Either them not being patient with low testosterone effects on erections, not using lube, prejudices against or fetishizing of trans-people overall, etc.

So, either choice is going to limit your pool of potential partners either way. Only way to avoid that these days is to not transition physically, but that's not a reasonable reason alone to not do it, IMHO.

[–] Kayday@lemmy.world 10 points 3 days ago (3 children)

I was considering just doing an orchiectomy for a long time before settling on a full vaginoplasty. It's perfectly valid to do just the orchi, or nothing at all.

Erections will become more difficult, if that is important to you. Medications can help.

Dating wise I can't speak to super well, but I haven't personally met anyone who was into balls really. It might be a topic of conversation, but there's probably people who wouldn't even notice they are gone.

[–] birdwing@lemmy.blahaj.zone 3 points 2 days ago* (last edited 2 days ago) (1 children)

I myself am considering vaginoplasty as well, though it's a bit hard to decide. CW, dysphoria and sexual stuff.

Tap for spoilerOn one hand, I don't particularly like torsion, and I remember how I was embarassed with my parts as an early teen. I've always wanted to be pregnant and would do anything for that. According to protocols for trans women, for that, orchi at the very least would need be done. That's fine with me, though personally I feel a bit weird not having the full parts of either, so I'd prefer going the full way (which also can be done according to the protocol).

I also never really liked peeing standing up, mostly because others would see my part, and also it'd be making more of a mess. I also don't like the feel of it being that visible and didn't like public erections being a possibility.

On another hand, now that I'm on HRT, I experience SO MUCH less dysphoria from the constant urge to wank it. My libido crashed and I'm so happy. I feel in control of my body instead of the opposite. Everytime I wanked, I felt a bit dirty and gross afterward. I don't really want to tuck nor do it everyday. I can still feel pleasure and do top, sometimes (though, I also feel partial to being penetrated). But then, what to do? That is hard. I didn't really have an urge to CUT it off, but I also felt detached and indifferent from my part.

Ultimately, I think I know that a surgery would help (and thus also spoke to a psychologist about this), but I also wonder for the 1% of my mind that's still doubtful. Rationally spoken, being able to pee standing up is nice, but I don't care about that at all; and rationally I think it's easier to orgasm with a dick. How is that post-op? Is sensitivity kept and orgasming fairly easy?

This is the case in where I feel, go ahead with advice. I want to hear it from others, and then decide on my own.

[–] Kayday@lemmy.world 3 points 2 days ago (1 children)

These are all really good thoughts, and I encourage you to take all the time you need to process your decision. Sexual topics ahead:

Tap for spoilerI found that on the less frequent occasions now where I do masturbate, there is both less dysphoria and more pleasure from stimulating the glans and surrounding area as though it was my clitoris. I had already wanted a vaginoplasty, but this solidified my decision. Though I will add I personally don't enjoy topping because of dysphoria, and also have too much sensitivity now for it to be enjoyable.

[–] birdwing@lemmy.blahaj.zone 3 points 2 days ago* (last edited 2 days ago) (1 children)

Thanks, I def will consider all that! Hmm, interesting. Got some questions, all also sexual topic stuff.

Tap for spoilerWhat kind of surgery did you have, if I may ask? Of vaginoplasty methods a consideration is how well vasculated it would be (an important consideration for an eventual uterine transplant, if I ever can do so) as well the need for dilation & whether it's self-lubricating. And of course whether it looks 'natural' from outside and inside. But yeah. the ideal would be something that hits them all. Not sure if that exists.

Since you do seem to be able to experience stimulation there, out of curiosity, would you say it's easier or harder than with the former part to achieve orgasm (or 'wetness')? And does the feeling also differ? Like, I've not had surgery yet, but since being on HRT, I notice that I no longer need the 'cooldown' after orgasming, which is great, though I also don't feel like I achieve the 'trance' state anymore, and thus the sensory 'peak' is more moderate.

[–] Kayday@lemmy.world 3 points 2 days ago

Sorry to be confusing; I have decided on a full vaginoplasty but have not yet had the surgery.

Tap for spoilerI am going for a peritoneal flap vaginoplasty. As far as I know, the only type of VP that can reliably self lubricate would be where they take tissue from the inside of your mouth, though that has the obvious drawback of limited material to work with. Among other things, what I like most about the peritoneal flap is that loss of depth is less of a concern. (Though dilation is still required)

[–] Domi@lemmy.blahaj.zone 2 points 2 days ago

I haven't personally met anyone anyone who was into balls really

Arrested development: Tobias says "there are dozens of us, dozens!"

But also, I'm much more into a partner who feels happy about their body than I am concerned about what specific parts they have.

[–] MissesAutumnRains@lemmy.blahaj.zone 4 points 3 days ago

I don't actually care about erections that much. They're useful sometimes, but I wouldn't be upset if they became a much more manual decision with medication or whatever.

I hate that "what will everyone think" is such a huge thing in my mind, but dating has already been hard enough depending on where I'm at, so I guess I just needing some perspective on how things changed for people as I go into the decision.

Thank you so much for your perspective!

[–] KAtieTot@lemmy.blahaj.zone 6 points 3 days ago (1 children)

Do what you want for you. How many people are going to see your genitals? How many of them are going to care if you have balls or not? If they care, is it a big loss?

[–] MissesAutumnRains@lemmy.blahaj.zone 7 points 3 days ago (1 children)

Girl, I'm a slut, so many people will see, hahaha. I guess you're right about not caring whether other people care or not, though. I think I just wanna know because it would change how I think about it before I make the decision (as much as I hate to admit it).

[–] KAtieTot@lemmy.blahaj.zone 6 points 3 days ago (1 children)

I think I'd be a lil sad if I couldn't gobble a girls balls but like, I can't see that being much more than like, a preference💅 if it's a dealbreaker were they worth your time?

[–] MissesAutumnRains@lemmy.blahaj.zone 3 points 3 days ago (1 children)

Probably not... I'm too desperate for any level of validation to not at least consider it, though.

I mean, you're right, obviously. I should absolutely not worry about them. Buuuuuuuuuut, what if 'the one' was only mildly transphobic and had a preference 🥺 <--- The literally dumbass way my brain works.

[–] KAtieTot@lemmy.blahaj.zone 6 points 3 days ago (1 children)

petpat you deserve better than that, girlie.

[–] MissesAutumnRains@lemmy.blahaj.zone 2 points 3 days ago

😭 I'll work on it.

[–] EggInDisguise@lemmy.blahaj.zone 3 points 3 days ago

Hey girl! I can't answer the questions, but I might be able to add something as someone in the same boat.

I'm not on hrt (yet, fingers crossed) but after some discussion with my partner, looking into things, and taking a long look at what truly causes me dysphoria, I came to the same conclusion you have.

The girls have to go, every time I see them I die a little inside and every time I have to use compression underwear or tape to keep everything smooth I'm reminded my body doesn't match my brain, but I still want to keep the centerpiece, as my spouse and I both want to continue utilizing things. My sex drive has always been low, and I kind of prefer giving pleasure to receiving, so we are confident we can make things work, and since I won't be having dysphoria during intimate moments, I think things should even pick up a bit, especially once I'm on hrt and won't hate my appearance in the mirror.

You are completely valid for only wanting an orchi, or even if you didn't want to do any srs. I know several women who are years into their transition, some of whom have even hit their "transition goals", who don't have plans for full SRS.

A bit too into details: I was always a grower, and once the girls are gone I should be able to keep everything smooth and pleasant down under once I get an orchi, however everyone's bodies are different and that's just one of my personal goals. I can't tell others what works for them or even what they might like. I'm sure you've given it plenty of thought!

Just don't get in your head about what others might think and you'll be much better off.

You got this!

[–] Shirow@lemmy.zip 3 points 3 days ago* (last edited 3 days ago)

I'm not that far yet in my introspection my egg cracking is relatively new. I have some dysphoria about my genitals, sometimes I'm ok with it, sometimes not. I don't understand exactly what I want from it and maybe it is linked to my previous romantic experience.

As for people treating you differently. It's easy to say it as I'm probably not the one who will be able to enforce my own advice but f... them if they are not okay with your want or need of your own body.

Any surgery should be your own choice for your own good.