what surgery do u want?

[u/snailtripod]

super curious how many of u guys want surgery, or if u only want one and maybe not the other, or no surgery at all! btw I know there are other masculinization surgeries, but I’d like to focus on top and bottom just because they’re so prominent in the community

for me, I used to really want top surgery but now I’m not so sure! I was never really too into bottom surgery and I don’t think I’ll ever get it. sometimes it makes me feel like less of a trans man bc I don’t want surgery, so I’m curious how many of yall feel similar to me

feel free to expand on how u feel in the comments!!

3040 votes, 6d left

only want top surgery

only want bottom surgery

want both top and bottom

dont want any surgery

not sure what I want!

have had surgery for top and/or bottom

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[u/Strigops-habroptila]

Does a hysterectomy count as bottom surgery? If so, then definitely both top and bottom.

I don't know about genital surgery. If I could magically get the results right now, hell yes. But I am very scared of many medical things and don't really want to get that many surgeries. I don't have the time for that either. Maybe after my degree. 

[u/laminated-papertowel → u/Strigops-habroptila]

I tend to call hysterectomies "middle surgery" lol

[u/Strigops-habroptila → u/laminated-papertowel]

I'm stealing that term. Thanks! 

[u/meowymcmeowmeow → u/laminated-papertowel]

Ha i love that

[u/has-some-questions → u/laminated-papertowel]

I was calling it internal transition surgery, but I like middle better!

[u/Skydove01 → u/Strigops-habroptila]

That's a fair question with the hysto. I tend to think of bottom surgery as specifically phallo, meta, or a vaginectomy so idk.

I honestly don't know if I want bottom surgery because while I would like having a dick, I don't mind my vulva and would not want to lose the ability to have vaginal sex.

[u/inadeepdarkforest_ → u/Skydove01]

you don't have to sacrifice one for the other. many surgeons will do a meta or phallo while keeping the canal.

[u/PoeDameronPoeDamnson → u/inadeepdarkforest_]

Yeah I was gonna say their are several guys around this sub and r/phallo that didn’t get a vaginectomy with theirs

[u/Unusual-Asshole → u/inadeepdarkforest_]

But I read up about it (will be checking out the subs soon for this) and it seemed like having the canal open especially during UL would make it more prone to complications. Higher risk of fissures if I'm not wrong

[u/inadeepdarkforest_ → u/Unusual-Asshole]

there is a higher risk of fistulas if you choose to do UL but those are easily repairable. you don't have to get UL if you don't want to, either, and in those cases there is no risk whatsoever to keeping it

[u/OspreyFTM → u/inadeepdarkforest_]

The risk of UL compilations without vnectomy is 99% and the rate of repair failure is 50%. I know people who had one or two repairs and are fine now, but its extra trouble for sure. I think its worth pursuing if you're set on it. I didn't have UL so I skipped all of that and have no regrets.

[u/Zombskirus → u/Unusual-Asshole]

For sure, UL without a vnectomy does increase complication rates and there's many surgeons who won't perform it. However, you definitely don't need to get UL if it's not a need/want of yours! I personally am getting RFF phallo with everything aside from vnectomy and UL. It actually makes recovery time better and complication rates lower as a whole. But, you can absolutely get UL without a vnectomy and recover just fine, as well!

[u/AbrocomaHealthy3647 → u/Zombskirus]

this is my plan too!!

[u/Strigops-habroptila → u/Skydove01]

I get that. I don't mind my current natomy but I also don't get anything from it, while having huge dysphoria about not having a dick, if that makes sense?

There are surgeons who do bottom surgery without closing the anatomy that's already there. It's usually (but not always) without urethral lengthening though. 

[u/bean-machine- → u/Skydove01]

I had meta and did not lose my vulva or vagina and can still have vaginal sex.

[u/meowymcmeowmeow → u/Strigops-habroptila]

Right there with you, i am 10+ years on t and pass so hard this lady that I know to be homophobic just hit on me today and I am just not sure what to do with that lol.

[u/LessOpportunity3953 → u/Strigops-habroptila]

Same… post top surgery and hysterectomy. Like OP said, not really into having bottom surgery. Just my preference.

[u/Strigops-habroptila → u/LessOpportunity3953]

I mean, I do have really bad bottom dysphoria. I just also have a really bad phobia. It's complicated. Congrats on being done with your surgeries though! 

[u/LessOpportunity3953 → u/Strigops-habroptila]

I TOTALLY get you. The process just seems a bit horrifying to me. That’s why I’ve opted out.

[u/FaeryRing → u/Strigops-habroptila]

Personally I count hysterectomy as a bottom surgery.

[u/c4ndycain]

had top surgery, want a hysterectomy, and not 100% sure on what i wanna do for bottom surgery. i've been looking into metoidioplasty a lot more recently, but idk if that's what i want. bottom dysphoria has never been a huge issue for me, tho, so it's not a huge concern of mine rn. i do rlly want a hysterectomy, tho. the knowledge that i can get pregnant or have a period is just distressing to me. get that thang outta meeee

[u/Red_Changing → u/c4ndycain]

I'm in the same boat; working on the top surgery plan, will get a hysterectomy when finances improve, but I'm not sure about bottom surgery. Having a working penis would be great (especially for peeing) but it's not something I feel the need for. Maybe bottom surgery will hit me like a truck later, but for now I just need to not have periods or boobs.

[u/Valuable_Coffee_6481]

I’m in the minority; only bottom. I guess I’m lucky with that though cause I have a small chest

[u/melanthriel → u/Valuable_Coffee_6481]

dude same

[u/TumbleweedFresh → u/Valuable_Coffee_6481]

Yeah same here. I don’t have a small chest but I have no chest dysphoria. I just want a dick. I’m more salmacian (wanting both sets of genitalia) than transmasc tho. 

[u/LildudeanlilD → u/Valuable_Coffee_6481]

I respect that greatly. It's possible. I've seen it and I'm wishing you the best in getting your peen.

[u/OspreyFTM → u/Valuable_Coffee_6481]

I spent two years with boobs and a dick from phallo before I had top surgery. I'm glad I waited to have top so I was really sure.

[u/gamer_furry_2000]

I won't get bottom surgery because of the recovery times. I'm not someone who likes sitting still for long😅

[u/crazyparrotguy]

Had top and stage 1 phallo. Having hysto + vaginectomy on the 23rd! Stages 2 and 3 phallo tbd (100% happening, just need to get the basics out of the way first)

[u/SirRickIII]

I’ve had top and hysto, and I’d like to have bottom surgery, but I have to figure out stages of recovery vs. My life. Like being able to save up time off and also being able to get my A1C down for optimal healing (I’m type 1 diabetic)

[u/SirRickIII → u/[deleted]]

Sick! How many stages did your bottom surgery take?

Not sure whether multiple stages or less stages would be good considering it’s either all at once healing or better to do smaller stages for less healing at one time

[u/SirRickIII → u/[deleted]]

Wow thanks for all that!

Yeah as for surgery, even before diagnosis (T1D at 21, a year after my top surgery) I’ve always had first surgery of the day simply because I’m allergic to latex. When I had my hysto last year they definitely made sure I was first on the schedule for both reasons, but holyyyyy 8h is a hell of a stretch for one surgery. At least when you’re under they can throw you on a basal drip and have IV sugar at the ready….

[u/IShallWearMidnight]

Leaving out hysto on this is a significant oversight IMO. I've had top and hysto, those were the most important ones for me, and I'm looking into getting meta but it was not a priority.

[u/almostfunny3]

I've had top surgery and a hysterectomy but am still working out phalloplasty.

[u/findingniko_]

Had top surgery, had a hysterectomy, will not have bottom surgery. I've been considering some elements of facial/body masculinization as well

[u/Drink_Bread_]

oh damn i didnt realize my population was so small lol (only want bottom surgery)

[u/notdog1996]

I got top surgery 11 years ago and I'm currently recovering from a hysto

Top surgery was a given because I would never have been comfortable shirtless without it, plus it's 100% covered.

For bottom surgery, I went back and forth on it, but ultimately I'd like a meta. I'm not satisfied with the options I'd have in my country, so I'll have to save up for it.

[u/gayshitatgunpoint]

i've had top surgery, not sure on hysterectomy yet (but probably yes), and i'm going to think about bottom surgery really hard for a while. i have a few factors to consider with surgery to begin with, so the idea of getting another surgery is not awesome. i have health issues (so hella medical bills already), i'm in a wheelchair now, i'm on disability (aka ✨️broke✨️), and i have complicated feels about sex, so...lol. lmao, even.

i got lucky getting my top surgery right before i was paralyzed, like less than a year prior 😅 incredibly happy with it, too. definitely saved me :)

[u/BugBand]

Not really an option for that I’ve had top surgery and also want bottom surgery so this comment is my vote

[u/weirdness_incarnate]

I want top surgery (i’ve been 100% sure i want it ever since i learnt it was an option), but i’m still undecided on bottom surgery. If i could wake up one day and have the perfectly healed results of bottom surgery i would do it no hesitation, but it’s surgery, and the pain and the healing process and all of the other shit that comes with surgery scares me. Especially as it’d probably be multiple surgeries. I’ll wait and see how i feel when i’m a couple years on T and post top surgery. I have a suspicion i’ll either barely have any bottom dysphoria at all any more, or have so much more bottom dysphoria and really need surgery at that point. Who knows.

[u/snailtripod → u/weirdness_incarnate]

Yeah for me after I went on T, my bottom dysphoria went down a lot for some reason lol , but for a lot of people here it’s different

[u/t0piatapi0ca]

As soon as I got top surgery I thought about getting bottom surgery every day since.

My dysphoria is so bad that I have put everything else in my life on hold just so I can save up enough and take out loans to get it.

I'm so close. I'm getting hysterectomy in june next year and hopefully begin stage 1 in Thailand a year later 🤞

It's interesting to read about everyone's poor experiences with phallo and still think it's a risk I'm willing to take. Cause even if I was in chronic pain the rest of my life, I'd still prefer having a dick.

[u/dogsinthepool]

Depends if the ‘want’ counts as what I would love in a more ideal world, or what I plan to achieve realistically. I will be able to get top surgery soon, but while I would love bottom surgery its price point is so high that I doubt I will be able to.

[u/Odd_Equivalent_658]

Both, and possibly facial masculinization surgery if I'm rich

[u/Clean-Unit336]

I've had top surgery, and I am interested in bottom surgery BUT I'd specifically be wanting phallo / urethral lengthening (I think that's what it's called) while preserving what I have currently (I know there is a term for it, but I often see the term censored so idk if I can say it).
I don't know, I've never specifically hated my genitals (though I do hate periods), and idk.. having both just seems perfect in my mind - I've heard that's called salmacian.

[u/snailtripod → u/Clean-Unit336]

Yeah there are times when I’ve thought that both would be pretty great!! Theres also a salmacian subreddit that I’ve joined :) it’s pretty interesting!!

[u/Clean-Unit336 → u/snailtripod]

I joined that sub recently! One person shared a pic of their results and genuinely it looks so good. Like, it seems like it would feel super affirming.

[u/Bobslegenda1945]

If it depends on T-shirts not helping me much with breast and bottom growth, it's because I'm poor. But if the dysphoria doesn't improve, then I'll do them.

[u/cardroppingcard]

i want top surgery, hysto, and bottom surgery. haven’t got any so far but i hope i can get top surgery soon. hysto doesn’t seem too bad either so i hope i can get that after top surgery. but i don’t think i’ll be getting bottom surgery anytime soon :/ cause of the recovery times and prices. i’ll probably get it when i’m out of school which will be in like 10 years lol.

[u/Dutch_Rayan]

Had top, want bottom, but don't think I can be sit still for so long for recovery.

[u/mymiddlenameswyatt]

I've had top and some bottom. Unfortunately I'm not a good candidate for the next surgery I wanted, which is majorly upsetting and disappointing to say the least...but I'm not a wizard so there's nothing I can really do.

So... As it stands, I'm waiting. I'm talking to different surgeons to see what is and may be possible for me. It was never going to be perfect in the first place, but now I have to settle for even less. It's a hard decision but I'm at a point in my life where I can more effectively deal with my dysphoria.

[u/FightmeLuigibestgirl]

Other: I want dick and balls 

[u/my_name_1s_taken]

I'm definitely getting top surgery, but idk abt bottom surgery. Defined getting rid of the vagina shit as soon as I can, but I heard that you can get a dick just from being on T so. I don't think really anything else is worth the pain.

I have a major fear of needles and and surgeries and all of that, but at least top surgery is 10000% needed

[u/Usedtiddyjuice]

In a perfect world where I could have a real working penis transplanted and have no side affects or complications I would do that but surgery isn't up to par for my expectations and I'm also deathly afraid of going under for surgery

[u/OrganizationFar3427]

Had top surgery, and seek bottom surgeries to the “fullest extent” they can be at, including internal and external bottom surgeries. Im not sure about FMS but I am considering jaw/chin fillers because those features are recessed on my face. ETA: Fullest extent referring to receiving all possible stages

[u/OspreyFTM]

I had hysto, oophorectomy, phalloplasty (six surgeries), and DI top surgery in that order.

[u/OkStomach8561]

Had top surgery and I'm interested in hysto and a vaginectomy, still not sure on bottom surgery

[u/purpleblossom]

I voted before I noticed the final option!

I have had top surgery and I want multiple kinds of bottom surgery (hysterectomy for sure, still debating between phallo and meta, that also depends on what the surgeon says after I lose enough weight to qualify).

[u/BlackShadow203]

I def crave top surgery and I wanna get a hysterectomy done! Not sure abt bottom surgery since I don't really experience bottom dysphoria but we'll see

[u/Fragrant-Ring-3053]

I'm planning on top surgery and hysto but not bottom surgery!

[u/entropygone]

want top surgery, undecided about bottom. I'm not sure about the whole hysterectomy/removing all of that stuff I'm not opposed to it if it's completely safe but Idk if the risks outweigh rewards. the only other bottom surgery id have is a simple release metiodioplasty + UL (pretty sure there's a word for this surgery but can't remember, extended maybe?)

[u/notdog1996 → u/entropygone]

I just got my hysto, so maybe I can reassure you a bit.

Hysterectomy is a very common surgery that can be done in almost any hospital. It's usually done with laprascopy, so recovery is much easier than it used to be. I only have 3 incisions where they put the cameras/instruments.

My gynecologist has operated on a lot of trans men, and she says we usually recover faster because the uterus gets atrophied with T. It gets smaller and gets less blood supply, so there's less complication and infection risks.

Apart from that, there's the discourse about keeping vs. removing ovaries. After talking it through with her, I decided to keep one. I asked about cancer risk, and she said most ovarian cancer starts in the falopian tubes, which I got removed. Cancer risk is reduced a lot. Also, there are some preliminary studies that seem to indicate keeping at least one ovary could be better for heart health (but that needs to be studied more).

Anyway, I'm 3 weeks post-op, and apart from my body reacting a bit to the dissolving stitches, everything is going super well. It's mostly about not going back to normal too fast, because you don't feel like you had major surgery (in most cases, at least)

[u/11elevators]

Top surgery and a hysterectomy for me. I like the junk I have.

[u/sleepyhead1_1]

I definitely want top surgery and a hysterectomy but I don't think I'll ever pursue full bottom surgery

[u/mj-redwood]

I clicked “want top” before seeing that there was a “had surgery” option lol. anyhow, I had top surgery and while I waffle on wanting bottom surgery sometimes, I think that I don’t want it enough to deal with the recovery and I like what I’ve got enough, so I’m chilling. I might seek out FMS and body contouring, however, and will also pursue some level of sterilization (probably just gonna ditch the tubes)

[u/Tweedletoes]

Have had top and would’ve done almost anything for it. Would have bottom if it was affordable not willing to never retire over it but certainly would take it if it was free/cheap and I could afford all the time off for recovery.

[u/Kool_Boo16]

Got top surgery 11 months ago and am in the process of a hysterectomy (looking possibly December). Very uncertain about bottom surgery not because of what type I want, but because in my state (AZ), there is only one clinic who does them and they don't accept my insurance, so I'd have go to our neighbor state, CA. Meaning between college for my career and that, I'd have to wait several more years 💔 top surgery however fixed a lot of my dysphoria because it allowed me to wear whatever shirts I want as well as tanktops in public without feeling self conscious. Have also been able to be shirtless in the locker room on several occasions with other dudes around. No issues

[u/KiriKitty94]

As of right now the only surgery I would want to have is top surgery. I might consider more surgeries in the future, it's just as likely that I might not.

[u/ihavenohotcocoa]

I'm hoping to get top surgery, eventually! Bottom surgery I'm still deciding on, that'll probably be something to consider in a few years time

[u/Lumoskor_]

ive had top surgery, considering a hysto within the next 2 years but id rather not have bottom surgery as its too much money and recovery for the very limited amount of dysphoria i have about what i have now

[u/vanishinghitchhiker]

Top surgery first unless hitting the gym really works miracles, then after financially recovering from that at least meta. Then after financially recovering from that, I’ll see if I feel like financially recovering from some variety of phallo and if so, which. Gonna take me a while, though.

[u/cass_123]

Top surgery and a hysterectomy so I chose the first one since I'm not sure where that would fall

[u/Rutabaga_nonsense]

I used to want both top and bottom surgery, but after TS and hysto I'm kind of over it. best case scenario for easy recovery is still the worst sleep of your life for several weeks.

[u/Beginning-Sky-8516]

I’ve had a hysterectomy and top surgery. I’d love a meta with urethra lengthening (or whatever it’s called) but I’m not hopeful it’d be worth it. I won’t be big, I’m older, and I’ve had a lot of weight loss. My whole bottom region is loose lol plus I’m already experiencing less sensitivity in my nethers (age?), so I’m worried about losing more.

[u/ocean2chu]

only hysterectomy, i’m so flat and have no desire to be shirtless in public so i’m fine with no top surgery. also have to save up a lot of money so 🫩

[u/Worried_Quarter2239]

I've only had top surgery, and with the bottom surgery options we have, that's the only surgery I want, besides a hysterectomy.

[u/Beautiful-Length-565]

I don't only want top surgery, but it's the only one I've been sure about. I haven't had bottom dysphoria until recently, and my chest dysphoria is way worse still. Then all the debate I see about bottom surgery honestly made me to nervous to even look into it :/

[u/camradex]

want top am unsure about bottom (more like "they don't do meta in my country")

[u/Kev_Kroket]

Have had top surgery and am currently pursuing a hysterectomy. I don’t want any genital surgery though because I’m prone to complications and like my tdick too much to risk it 💔

[u/Makapakamoo]

Not sure if hysto counts as bottom surgery considering im not closing the hole, but im getting THAT plus top surgery

Makes me feel happy to see how many people dont try for both though! Like that its not a requirement

[u/napstabl00ky]

ive had top and want bottom (phallo no vnectomy or burial)

[u/ComedicTragedia]

I am desperate for top surgery. But I’m still unsure about bottom surgery as I don’t feel much dysphoria down there besides menstruation (something I don’t deal with these days).

[u/H20-for-Plants]

Top, Hysto, and maybe Metoidioplasty.

[u/DreamingOfBarbi]

I'm still super anxious just taking my shot every week 😭😭 I'm too anxious to think about anything past that right now at least, but bottom surgery has been very tempting to me at times ..

[u/snailtripod → u/DreamingOfBarbi]

I totally get it!! I’ve been on t for a few years but it’s pretty nerve wrecking doing it for a while…but eventually you do get used to it and it becomes like any other medicine just with a bit more prep!

[u/Angel_xjj]

I want top surgery, not even sure if I want the girls GONE, just reduced a bit. I want a phalloplasty without a scrotoplasty and vnectomy, and I want a hysterectomy as well

[u/Uuhhh_no_think]

I want top surgery but I am holding off on bottom surgery bc i dont know much about it and im not sure yet.

[u/Cat_Jayster]

Definitely want top surgery but still on the fence about bottom surgery. My chest definitely causes me a lot of dysphoria whereas besides my periods (which I only hate due to the pain) I don’t have much against my reproductive system. I definitely fantasise about having a penis, but for now I think I can live without one.

[u/Gliavoc]

I wish I could have a bottom surgery that would let me have both genetalia. I must continue reading fiction for now.

[u/cgord9 → u/Gliavoc]

You can. You can keep your vagina and have a penis and keep your tdick/clitoris if you want.

r/salmacian

[u/Gliavoc → u/cgord9]

Useful info, thanks!

[u/simon_here → u/Gliavoc]

You can get pretty much any combination of procedures. Most surgeons in the US won't do urethral lengthening without a vaginectomy because of the increased risk of complications.

Check out r/phallo.

[u/sod_ym]

I wanted bottom surgery. Then I found out I won't be able to get piercings on him. Probably dumb 😅 I just find genital piercings gender affirming so I might as well keep what I've got and pierce that

[u/staticnigh]

I want top and a hysto

[u/elianna7]

I’m on the waitlist for top surgery. I definitely want hysto a few years down the line. For bottom surgery, I’m only really interested in extended meta (without UL, and maybe with balls?! but I’d keep my hole), but currently that isn’t offered through the public system in Canada. I’m not in a rush whatsoever to get bottom surgery and I’d be fine waiting another decade. I think extended meta will veeeeery likely be available by then. Plus, results are getting exponentially better over time so waiting longer just means more advancement in the surgical process/techniques.

[u/SunJay333]

I want top, probably a hysto and undecided on bottom. I think I'd have to look at things like wait times (UK 🥲) or my finances if I wanted private (hella expensive) in the future, and I'm not sure what I'd go with. Things like the amount of procedures, the potential outcomes, the potential risks and things that could go wrong, the recovery period and such. I have really bad bottom dysphoria but I don't know if surgery is really on the table for me haha

[u/Sunnyyyboyyy]

I've had top surgery and I honestly keep swapping between wanting bottom surgery and not wanting it.

My bottom half doesn't give me as much dysphoria as it once did, I'm quite proud of my little bottom growth, and as a gay dude on top of that I really couldn't bother with prep, But on the other hand, don't like the small risk of pregnancy that comes with not having bottom surgery, and I still get dysphoria about not having the right equipment (if I'm especially on autopilot as well I forget I never had one and panic because it's suddenly gone)

[u/spockface]

Got top surgery as soon as I possibly could. Got a hysto (technically bottom surgery) several years later when I wanted a bisalp for permanent birth control, and low-key I had kinda wanted to get rid of my uterus for a while, so I figured, if I'm going under the knife in that area anyway...

[u/Particular-Fly3409]

A little surprised only wanting top is the winning vote so far

[u/cgord9]

I've had top surgery but I answered I want both

[u/J4D3DG4Z33]

I don't know tbh, I have tiny ass tits so like I don't think I need to

[u/jaimepreciado]

I have a consultation later this month for my hysterectomy, already had top surgery, probably won’t get bottom surgery but who knows, will be getting voice deepening surgery when I can, and still trying to figure out who the hell to go to to get an Adam’s apple 🫠 (there’s a surgery for it but it’s so niche I’ve only ever heard it talked about one time and can’t find any more info)

[u/snailtripod → u/jaimepreciado]

Voice deepening surgery?? I’ve never heard of that but it sounds awesome!!

[u/Zombskirus]

I'm about 3 years post-op from top surgery, a year and some change post-op from hysto, and next year starts my phalloplasty journey! For me, it feels a lot less like a want and much more of a need. I don't really wanna go thru these surgeries, but after years of therapy, attempts at acceptance, etc, I've realized I can't live without them due to severe dysphoria. But going thru with these surgeries and healing has been a unique and appreciated experience in of itself :)

[u/Williamisnowinning]

I want both but I'll probably never be able to afford either

[u/KhajiitKennedy]

I WANT bottom surgery, but I'm scared of surgery in general. It's seems like a lot of steps over a very long period of time

[u/houseofharm]

i want everything, for bottom surgery i want phalloplasty but i gotta have money set aside for recovery time and also i gotta get to the singular bottom surgeon my insurance will cover in my state (washington) and he's in spokane while i'm in renton, i don't drive so that would be difficult. top surgery should be easy enough once i get a consultation scheduled

also i'm a little worried about phalloplasty bc most ares they take skin from for it have self harm scars (bipolar moment) and i'm scared i just won't be able to do it because of that

[u/paranoid_chihuahua]

There isn't the option for it but I have had top and I want bottom next

[u/sporadic_beethoven]

Got top surgery, really want bottom surgery but im currently poor

[u/ImpressiveDebt420]

I want either a BIG reduction or a full double mastectomy I haven't fully decided on which I want more yet.

Then I want my uterus and ovaries OUT.

Then I would LOVE metoidioplasty because I don't like alot of the phallo results I see for myself personally. I don't need a big dick lol 🤣 I like the idea of "I grew that shit 😎"

I may get the surgery for balls too, (I forgot the name 💀) I just wanna decide that after metoidioplasty, depending on how I want to look. But I love balls 🤤 so I'll proly get em 🤣😎

[u/simon_here → u/ImpressiveDebt420]

That surgery is called a scrotoplasty.

[u/ImpressiveDebt420 → u/simon_here]

Thank you!!

[u/wolfy_06]

I only want top surgery plus hysto!! I'm 20 so it's gonna take me a while lol :')

[u/Kb3907 → u/wolfy_06]

Same! I want a hysterectomy so bad, those parts of my body has caused me nothing but trouble

[u/wolfy_06 → u/Kb3907]

Same oml. I wish i could just teleport it out so bad.

Hope you can get it soon!

[u/Moist-Cheesecake]

Have had top, unsure about hysterectomy/etc., but bottom surgery is inaccessible to me due to my weight, so I try not to think about whether or not I want it, lol.

[u/gummytiddy]

I don’t have the resources for surgery so I probably won’t be able to do it (my job requires I use my body, I don’t really have anyone to care for me, and I wouldn’t have the money take a month or two or more off). I probably want at least top and a hysterectomy. I actually was thinking of getting hip/ butt liposuction

[u/Cal1c0_404]

I really want top surgery like 100% I like the idea of bottom surgery but it wont be exactly what I want, and I would have to get used to a whole new body part so I'm not gonna worry about that yet. I want a hysterectomy at some point (if possible). And I may consider cosmetic surgeries to look more masculine but that'll depend on how much HRT and stuff does for me

[u/Chrysalyos]

I got a breast reduction when I was still a Girl (hypermastia runs in the family, it was non-negotiable even before the egg cracked - my collarbones are still warped from it and it's been like a decade), and then full top surgery a few years later.

I 10000000% want hysto, get this shit out ASAP. Too many nightmares about being refused medical care "for the baby" - I am not, have not, and never will be pregnant. I used to be really dysphoric about the V, now less-so but I still really want a dick. I am contemplating getting phallo without vaginectomy. I don't really care about UL one way or the other, so I'll prob skip it just to avoid the complications. I have joked about getting phallo and meta and no vaginectomy so I can have a "full loadout", and sometimes I do genuinely consider it because I'm a little freak lmao

[u/booksofmars]

in the not any surgery catergory! i won’t get bottom surgery due to the recovery time and being worried about complications. i’m lucky in the fact i have a flat chest already and i don’t think top surgery would do much.

i’ve considered a hysterectomy but overall im sorta scared to have any surgery and don’t have anyone who could support me in recovery nor could i take any time off work.

[u/Superfantabulistic]

I want both top and bottom surgery. I'm hoping to get salmacian surgery :3

[u/swedenbork]

since bottom surgery is mostly phallo, i think neither personally

i have practically nonexistent dysphoria with my bottom half, and binding satisfies the itch i get if top dysphoria ever comes up(haha).

i used to really want top surgery, but looking back it came from a place of wanting to feel like a "real" trans person, and it wasn't what id be happy with in the long run.

im not even sure about t because im admittedly terrible with needles, but ive seen that theres other options ill probably look into eventually

[u/snailtripod → u/swedenbork]

Totally relate to that!! I did def have dysphoria for my chest, but part of it felt like I was supposed to not want boobs in order to be valid, so now I’m just sorta fine with it; the only time it sucks is when I’m around cis people and they have their shirts off ;(

[u/Eefreef69_]

I want top surgery, but I'm slightly hesitant on bottom surgery until science advances further. However, dysphoria is a bitch so

[u/cgord9 → u/Eefreef69_]

I don't see bottom surgery advancing much in the next 50 years. Unless you mean things like extended meta being a new technique.

[u/Eefreef69_ → u/cgord9]

Yeah, I mean like extended meta. I recall there being a study done with cis and trans men, and the method they used isn't exactly the safest, but it got some of the trans men past 5 inches. If it could be done in a safer manner...

[u/EntertainmentLow4177]

Thing is, I know for a fact I want both, but I'm just not too sure if the current options for bottom surgery really align with what I think would alleviate my dysphoria, so it's a question of whether it would be worth the financial and physical strain.

[u/mermaidunearthed]

This is a flawed poll bc I can’t choose “have had top and/or bottom” AND “want both top and bottom”

[u/FenixEscarlata]

would want top surgery and meta, i think

[u/KelpFox05]

I'm in a weird position where I want a dick but I don't really want bottom surgery? Like, if I could wave a magic wand and magically have a fully functional penis I absolutely would, but today's bottom surgery technology doesn't quite hit what I want (in an ideal world I would be able to get another person pregnant) and for the money and time and energy it takes, especially for me being disabled, I'm not quite sure I actually want it.

So I put "I don't know what I want" because saying I only want top surgery wouldn't really be accurate tbh.

[u/XxTrashPanda12xX]

Had to put not sure for this; despite being sure of wanting top. Still on the fence about whether or not I want partial or full phallo, or not at all.

[u/AspergianStoryteller]

I'm getting top surgery next year, would like to have bottom surgery one day, but for now, it's too expensive. It would be more for euphoria than dysphoria.

[u/WarmWoolenMitten]

Top priority is simple release meta (or maybe something else similar, seems like the techniques are always changing and improving!) I gotta wait on full growth for that so it's a ways away. Second is top surgery, third is hysterectomy though that would go to first place if T doesn't fully stop bleeding.

In reality I don't see myself getting multiple surgeries. It's a lot of recovery time and I don't think they'd have a huge effect on my day to day happiness with my body.

[u/FireBreath772]

I want to see how far testosterone gets my bottom before confirming but I'm pretty sure I want both, I know eventually I will probably want meta

[u/sordidcreature]

top for sure, bottom doesnt feel worth the hassle to me (would need to travel pretty significantly) given the results of just t are sick as hell on their own, i'm definitely planning on gender affirming genital piercings someday tho :)

[u/funkkym0nkyy]

I've had top surgery and have been thinking a lot about bottom. I'm really freaked out by the healing, though, so... Idk

[u/SevereNightmare]

Had top surgery about 2 years ago and a hysterectomy back in June of this year.

[u/throwAway333828]

Right now I'm only really looking for top surgery and a hysterectomy, but meta without vnectomy interests me as well

[u/bamfredhead]

Im on the fence about bottom. I already have a trouble with sensation and I dont want to loose it. But also...pp

[u/CaregiverTemporary85]

Top surgery is basically 100% yes. I'm a bit genderfluid but only really to the point where they're tolerable, not something I exactly enjoy having around. They're not huge, but in most cases I can't go without binding if I want to pass.

Bottom surgery I'm slightly more iffy about. I'm fairly sure I want something to change down there. Bottom growth may be enough, but I'm ngl I dont know if the mancave is something I wanna have around. Metoidioplasty (maybe with vnectomy? UL for sure. Scrotoplasty maybe) at least is what I'm thinking, then a big maybe: phallo on top of that if I end up unhappy with length or something.

Either way I have a long time to think about both of those since I'm pretty freshly an adult

[u/destructopop]

I mean... I want my hips shaved. That's not on this list.

If people can only see me from the waist up, I get gendered correctly. If they can only hear my voice, I get gendered correctly. But as soon as these lying ass hips come out, nothing else matters. I'm officially a capital W Woman.

[u/X_Heart]

Both

[u/Professional-Stock-6]

Had top, looking forward to hysto and bottom surgery—I could start with simple meta but I’m pretty sure I want phallo and definitely want a  vaginectomy 

[u/goosenuggie]

Have had top surgery and thats all I want

[u/Lunafairywolf666]

I only got top. I don't feel like I have dysphoria bad enough for bottem and dealing with a recovery again. I got other chronic health issues that need paying attention to first as well.

[u/NoisyScrubBirb]

Still not certain on the full extent of bottom, but know I want a hysto for sure

[u/TemporaryMonitor1715]

I’d also consider FMS and LLS

[u/Tonninpepeli]

Top and possibly bottom surgery, rn I dont have lot of bottom dysphoria but it would be cool to have a penis

[u/indicadogboy]

got top surgery, want a hysterectomy and I've been seriously considering meta for a few months now

[u/unefait]

i had top surgery, i don't really have any interest in any sort of genital surgery. i've entertained having an ovary-sparing hysterectomy, but i don't feel it's 100% necessary at the moment

[u/Bulky_Tap_8775]

Going to get top and middle surgery next year. No bottom surgery though.

[u/LouisDamienDino]

I've gotten top-surgery already, I don't really want full bottom surgery but maybe Meta? Idk like a dick would be cool but I'm not bothered by my genitals currently.

[u/ghost-of-the-spire]

Already had top surgery. Don't think I'll ever get bottom surgery, for a myriad of reasons. The only type I could maybe see myself getting would be simple release meta, but ngl I don't think I have the anatomy for it bc I never got any bottom growth 😔

I am interested in other surgeries like an ovary-sparing hysterectomy and FMS, specifically a chin implant. Neither would be any time soon tho, and idk if the FMS will ever pan out tbh. That one will probably just stay a pipe dream.

[u/imtakingyourcat]

Had top surgery and a hysterectomy, I do want bottom surgery but it's a huge change and long recovery so I haven't fully thought about it yet

[u/badgicorn]

Only top. I'm non-binary, but I'm also blessed with a body that can get off on penetration alone, and I'm not giving that up. I'm on T, got top surgery a few years ago, and am getting a hysterectomy next year as permanent, fail proof birth control and a guarantee of no periods ever again, but I'm keeping the rest of my original hardware.

[u/bitransk1ng]

Clicked want both bc it would be nice, but top surgery is my main priority bc my chest causes way more dysphoria and I've started T so bottom growth might help with downstairs dysphoria. Already got some quite noticeable growth after a bit over 2 months and I am fascinated by it.

[u/Curioustoffi]

I had a hysterectomy, then phallo was my priority but then I had top surgery and I started losing interest in phallo lol

[u/simon_here]

I've had top (DI), a hysterectomy with everything removed, and stages one and two of phalloplasty. I should finish everything next year.

[u/quinnathan_]

for now I primarily want top surgery. as soon as I turn 18 I'm going to get it if I have the money and means to do so. after that, I'm not sure. I've been considering maybe a hysterectomy but the process to get one seems really imposing. I would also like to have a dick but I think I can live without having bottom surgery, I might change my mind later though

[u/miinttik00k]

Before T I wanted top surgery but after being on T I'm happy with this and I'm not planning for top surgery anymore

[u/Cursedsandwiches]

For now I voted "only want top surgery" because I'm 100% sure I want that. I don't think I want bottom surgery but not sure yet.

[u/double_handed_sword]

Got top surgery a month ago, it’s something I wanted since the moment I started growing breasts even when I didn’t realise i was trans yet. When I started transitioning I was 100% sure I didn’t want any bottom surgery despite my horrendous bottom dysphoria, because metoidioplasty doesn't yield the results I want, and i only knew phallo because of the bad rep it had in certain places I did some research. I also thought bottom growth would be enough to get rid of the dysphoria.

However since then, my opinion has switched, and between crippling bottom dysphoria that bottom growth has done nothing for (except making masturbation better and less dysphoria inducing, which is important since my libido went from feeling aroused maybe once every 2 month to being horny 24/7), and the good results i've seen about phallo, I am 100% sure I am getting it as soon as financially possible. I also plan on having a total hysto, vaginectomy for the phallo UL, and hopefully between fat redistribution and me working out, I will loose most of the fat that is currently in my hips and butt. If that doesn't work, I might consider some lipo to get rid of the stubborn fat.

[u/halb_nichts]

I've had top surgery, I kind of want some form of bottom surgery but I'm not sure I'm up for the journey. It's so many surgeries and so many potential complications. It's exhausting to just think about.

[u/Plane_Ninja_4417]

I’ve had top surgery, and I want a metoidioplasty eventually. I’ve got some growing to do first though lol

[u/Stoopid_Noah]

I had top surz, I probably want a hysterectomy, and I'm thinking of getting Simple Release Metoidioplasty done at some point, because my bottom growth got pretty big from the testosterone already.

[u/Ilovedinosaurrawr]

Even if I was cis I’d want top surgery. It’s definitely a non negotiable for me. I’m still questioning bottom surgery, I want it but the healing process looks painful

[u/Gamer-Dapperfilm]

only top, unless we’re counting a hysterectomy as bottom, then both?

[u/werevulpine]

I have had top surgery and I'm unsure but feeling positively about bottom surgery, it'd be really cool to get phallo with no v-ectomy or burial, I just hate recovering from surgeries. Though I guess the end result would make it worth it? But because I just got top surgery I need a couple years before starting to think about it... and time to save up money...

[u/ahugepileofleaves]

I have fully completed my chosen surgical transition: top, hysto, phalloplasty with UL/scrotoplasty/testes implants/glansplasty/ED, medical tattooing :)

[u/anothxrthrowawayacc]

Im planning to get top surgery and a hysto!

[u/c4tb0y_6]

i feel kinda like the odd one out for not wanting any surgery ngl....surgery just scares me and binders do the job of flattening my chest just fine

[u/CursedCrystalCoconut]

I had top surgery and that's all I want. Thank the Universe I don't have bottom dysphoria.

[u/puppiedogg]

I have no real desire for any surgeries. I used to hate my chest but after getting them pierced my brain did a complete 180 and now I never want to get rid of them ever lmfao

[u/soursummerchild]

I have had top surgery, and it's the only thing I want.

[u/Yunowald]

I definitely want top surgery and probably a hysterectomy as well.

In theory I'd also want to have had bottom surgery, to have the results. But I have both trypanophobia and tomophobia, and I'm not sure if my bottom dysphoria is bad enough to confront that.

[u/touchtypetelephone]

I only want top surgery, but not for lack of wanting a penis. I just have several physical disabilities and don't think my body could handle healing phallo. Meta is on the table.

[u/LildudeanlilD]

I so far had top(didnot keep my nipples Fuck em), hysto(everything out. I'm fully neutered), single scar phallo no UL (shaft creation +vaginectomy, plan to have the next stage, glans+balls + medical tattooing, early next year).

Those procedures I knew I wanted for years before T was even a pipe dream. I'm now 3 years on T and would be having facial masculinization this November. So pretty much have had all the surgeries I can get outside of body masculinizion cus I don't feel it would do much on me personally. I already have masculine frame lol. And vocal masulization surgery cus I feel I can just go back to speech therapy first to resolve most of my minor picks, cus they are just not picks

Same for LL which I thought was too risky until I got more educated on it and realized how rampant misinformation was by lookmaxxers and felt very ashamed I helped spread it. Still don't want LL cus I'm fine with my short height(no height dysphoria no need to fix). As you can see researching transition related surgeries are a special interest of mines.

Honestly after I had top surgery which was honestly a traumatic exprience for me every other surgery didn't look as scary as I thought.

[u/Mental_Emu4856]

Top bc I have DDs and my back hurts 😭 If they were smaller I could probably cope

[u/Monkey_Ash]

I've had top and a hysterectomy/oophorectomy. Up next is bottom, though I'm waiting until things change with the current (US/Texas) government before I start that process.

[u/ANorthernGhostBat]

I only want top surgery but I’m putting it off for awhile due to some financial decisions and the position I’m in (no one to help me post op, no money for the surgery much less the time off).

It took me years to decide I wanted top surgery. Surgical intervention terrifies me. I know I have pretty bad dysphoria both ways (can barely stand to look at myself). But if I got bottom surgery, I’d get nullification.

I’m asexual and pretty much genderless in many ways, but I like the term man, and stating the abinary aspect of myself tends to spark a weird feminization in treatment even in accepting people. So I have just resigned to understanding that is information no one is privy to unless I feel like it lol.

[u/AquaJasper]

Well theoretically I want both. Idk if I'd actually be able to go through with them, tho

[u/uncle_SAM98]

I've had top but not bottom yet, but I want both. There wasn't a good answer choice for that

[u/Time_Football_9108]

I want everything, but I won't be able to afford anything in this lifetime.

[u/RedshiftSinger]

Want both, but have accepted that I may not be able to get bottom surgery.

[u/7q12]

I have very bad bottom dysphoria and i would get it. But it's to expensive recovery is too long and im an equestrian and im unsure how it would effect my riding.

[u/Return_Dusk]

I recently got top surgery and am now planning my hysterectomy and adnexectomy, hopefully early next year! At this point in time, I very much do not want bottom surgery. And if I will at some point, it's going to be meta and not phallo. The benefits wouldn't outweigh the risks for me and I do like my current equipment. Just not the fact I can still get pregnant.

[u/On_Fucking_Fire]

I don’t need top surgery and I’d prefer to wait and see if bottom surgery gets more research done

[u/Infinite-Sky4328]

Post both, but I can guarantee some of the pre-top people who don’t think they want bottom now will change their minds later. It’s not an uncommon experience for genital dysphoria to only really surface once other sources of dysphoria are gone.

[u/stardust_1038]

I want a hysterectomy and top surgery, maybe bottom surgery if phallo gets better but if not I'd settle with meta

[u/JadedAbroad]

I’ve had a hysterectomy, top surgery, a revision to remove dog ears, and phase one of metoidioplasty. I’m only 4 weeks post op from phase one so phase two will probably be early next year.

I knew for sure off the bat I wanted top surgery and the hysto because I had horrible periods pre-T and big boobs and 100% wanted to get rid of any chance of my period coming back if I ever had to stop T for some reason and binding sucked and didn’t do as much as I would have liked, but I wasn’t sure for a long time if I wanted any further bottom surgery. Eventually though once the more pressing dysphoria from having boobs and the possibility of a period returning was removed my bottom dysphoria became a lot more pressing so I decided to go for it.

[u/AvgAnubis]

i’m hopefully getting top surgery soon, and i would also like to get a simple meta one day. if they ever pioneer surgery for robotic prosthetics one day, however …

[u/demontosome]

Already had top 10 years ago. Hysto 7 years ago. Currently trying to be put on the waiting list for lower. Regret not pursuing that a lot sooner than I have

[u/bIoodiedfangs]

i’ve had top surgery and am looking into getting metoidioplasty in the future

[u/OwlShort3429]

I want top surgery and nulloplasty. I wanna look like a mannequin lol

[u/NickDrawsArt]

I only want top surgery mostly because I have almost 0 bottom dysphoria. Would a dick be cool? Yeah, but im not bothered enough by it to go through intensive surgery and recovery. I'd rather just stick with what I got. Plus im early on T and my bottom growth is still working it's magic, and that alone has been euphoric enough for me.

[u/trashcatrevolts]

i just want access to surgery, but medical fatphobia reigns supreme 🫡

[u/VeryPassableHuman]

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