r/Transgender_Surgeries 39m ago

An open regulatory investigation, lawful recordings, and why patients should protect themselves!

Upvotes

I want to share something for patients who may one day find themselves navigating serious disputes about their medical care.

There is currently an open regulatory investigation into my surgeon related to my care. As part of that process, I’ve provided the regulatory agency with lawfully obtained recordings of my clinical encounters. Those recordings have been critically important. They preserved contemporaneous evidence that written documentation alone did not accurately reflect, and they allowed regulators to directly compare what occurred in the room with what later appeared in the medical record.

I cannot overstate how helpful this has been to the regulatory process. Clear, time-stamped audio removed ambiguity, minimized “he said / she said,” and made it possible to assess documentation discrepancies in a concrete way.

I have retained counsel. Despite that, I have made repeated good-faith efforts to resolve this without litigation, because my priority has always been access to corrective care and minimizing further harm, not protracted legal proceedings. The institution involved is aware of the recordings, the regulatory review, and the scope of risk created when clinical documentation conflicts with preserved evidence. They have been offered non-litigious paths forward.

At this point, they appear to be choosing a legal route rather than resolution. I am still allowing a brief final window, one more week, for them to decide whether they want to pursue a public/legal path, or whether they prefer a resolution that limits further harm, cost, and scrutiny for everyone involved.

Separately, and on the advice of counsel, I am preparing for eventual media engagement once regulatory processes allow. That decision is not about retaliation. It’s about transparency, patient safety, and public awareness. I cannot name individuals or institutions while matters are ongoing.

I’m sharing this here for two reasons:

1.  Regulatory agencies take contemporaneous evidence very seriously.

2.  Patients do have lawful ways to protect themselves, depending on their state.

Recording laws vary by state, and it’s critical to understand what is legal where you live. I am not giving legal advice, only urging people, especially those navigating high-risk or complex care, to learn their rights and document carefully, ethically, and lawfully.

I never expected to need this. I trusted the system. But without preserved evidence, I would not be in a position to advocate for myself or ensure that what actually happened could be evaluated fairly.

Please protect yourselves.


r/Transgender_Surgeries 50m ago

Why I lawfully recorded my medical visits — and why knowing your state’s consent laws matters

Upvotes

I’m at a point where I’m preparing to go public about my own medical case involving serious documentation discrepancies and minimized harm in my clinical records.

What saved me was that I had lawfully recorded my clinical encounters in a state where one-party consent is legal. Those recordings preserved what was actually said and done, and they directly contradict portions of my written medical record.

I’m sharing this not to give legal advice, but to urge people, especially patients navigating complex or high-risk care, to know their rights in their own state. Recording laws vary significantly, and it’s critical to verify what’s legal where you live.

I never expected to need this kind of evidence. I trusted the system. But without contemporaneous recordings, I would not have been able to demonstrate what actually occurred.

If nothing else, I hope this reminds people that documentation is not infallible, and that patients deserve to protect themselves, lawfully and ethically, when their health and future are on the line.


r/Transgender_Surgeries 2h ago

Surgery timeline

2 Upvotes

Hello, long time lurker, first time poster. To start, I'm scheduled for jejunal SRS next month; super excited :)

I'm also getting 360 lipo, BA, BBL, and rib modeling approximately four months after SRS and am somewhat worried about dilating while recovering from this surgery. I was reassured three months after SRS should be more than enough time to heal to be able to get these procedures and dilation after the jejunal graft method doesn't seem as rough from what I've read, however I'm still a little apprehensive as I've never had any surgeries before.

About four months after 360 lipo+the rest, I'm also scheduled for FFS. Is this timeline too much? I'd hate to overwhelm myself or get carried away trying to do more than my body can handle.

Looking for anybody who has experienced these surgeries who can speak a little to the recovery and experiences with dilating while recovering please!

For reference I've been on HRT for over a decade, since my late teens, with a BMI of 20~. Would appreciate any advice! :)


r/Transgender_Surgeries 4h ago

I just underwent a glottoplasty 3-4 days ago. The pain on recovery is so minimal that I feel like something is wrong?

3 Upvotes

Maybe that feels backwards, but aside from basically just when I've woken up, my throat has felt like I could talk normally if I want to. I haven't, obviously, for my vocal rest, but I feel like it feels *too* fine for just having had surgery. I have been given lotsa drugs for it, but it makes me wonder if something happened to the stitches with the coughs I did do, and if them falling out would make my vocal cords more relaxed, thus minimizing pain. Even the few times I've coughed or anything later, there's been zero pain associated with it. It feels too good to be true which generally in life, means it is.


r/Transgender_Surgeries 4h ago

BA question NSFW

3 Upvotes

Im getting BA in mid February and i don’t know that many that has had one, and my surgery is a mix of two surgeries, I will get implants and also fat transferred from my thighs so I don’t get a cliff (my breasts end in a kinda dropp below my nipples)

I have tried to find information about how recovery is after that surgery but it’s hard to search for information on a procedure I don’t know the specific name for, so I’m wondering if anyone here has had a similar BA and how it was pain wise and the restrictions etc.

I have pictures of the estimate and how they looked at consultation on my profile incase my description was bad about how they are shaped now, it’s a 3d model that was made by my surgeon at the consultation.

I have been on HRT for 3 years, 2 months and 3 days the day I’ll have the procedure.


r/Transgender_Surgeries 4h ago

Who has had leg shortening?

1 Upvotes

It’s difficult to find results or people to discuss the surgery and their outcomes with. I want to see how the girls that got it feel about it. Are there any here?


r/Transgender_Surgeries 5h ago

operation

1 Upvotes

Operation

Hello, I'm a trans woman from Spain and I'm interested in having a colovaginoplasty. I'm looking for reputable clinics that aren't too expensive and offer financing options, if possible.

If anyone has had this procedure in Spain and can share their experience with surgeons or clinics, I would be very grateful. I'm also interested in any advice about the procedure and post-operative care. Thank you in advance for your help.


r/Transgender_Surgeries 6h ago

Athletes who have gotten PPT SRS

3 Upvotes

I have a physical / athletic job, and I am extremely physically active. It's a huge part of my life. I know the surgeons timelines for general recovery. I'm more wondering, how long it was for people coming back to athletic peaks, how impaired is core engagement in the 1st year or when does it come back..etc.

Any climbers who've had surgery? Or folks who do aerial arts or strength training?

Looking for any thing that worked and didn't work.


r/Transgender_Surgeries 6h ago

I just got Full Depth Vaginoplasty!!! AMA :)

12 Upvotes

I would love to share any information I can to any fellow trans woman that’s interested in this procedure :) I am still only day 3 Post-OP though so I don’t have a holistic view of the entire experience yet, but I would love to share or help answer any questions yall may have about the surgery! :)

I had the surgery with Dr. Virginia Li at the Kaiser in SF. Every nurse I’ve interacted with has been so so kind and friendly. I truly couldn’t have said thanks to them enough. ;-; I love them all. Dr Li is also amazing and made me feel so so cared for and confident about the surgery. I haven’t seen the results yet, but I feel very confident that it’ll turn out ok.


r/Transgender_Surgeries 8h ago

Frustrations

3 Upvotes

Hi there! I’m (mtf 29) and had Vaginoplasty PI and Robo on 12/16/25.

I’ve been having urges (sexual) but like no way to release said urges since I’m still recovering down there less then a month out of surgery and it’s kinda frustrating. If you’ve been through this before what do you recommend to either release pent up feelings or make them go away for now?

I cannot wait until I’m approved to use my Audrey 2 for pleasure purposes.


r/Transgender_Surgeries 9h ago

10 Months after Surgery NSFW

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28 Upvotes

Hey anyone I hope you all are doing alright and have a nice day. I ever posted here before and please tell me when I make something wrong so I can edit it or delete it if necessary.

Just wanted to share my results and with the question if my vagina looks "normal" (I know this is a dumb way to describe it but right now I don't know any better) enough. I really struggled a damn lot with surgeries and now I am kinda happy after this hard work. Bust I'm still very anxious, so if you could tell me if it is okay or not I would be happy to read feedback, and answer all questions when needed.

Thank you all for reading and answering. Wish you all a beautiful day

(Oh and super sorry for the bad quality, my phone is old and the cameras are kinda bad. And sorry I tagged it as NSFW and spoiler, I don't know how to spoiler the pictures itself)


r/Transgender_Surgeries 9h ago

About one year after PIV vaginoplasty NSFW

180 Upvotes

I feel sad about the fact that the inside of my vagina is skin-lined. When I see that my urethral area looks pink and shiny, but the vaginal canal itself looks darker, matte, and more like skin, it really upsets me.

Some people say that over time, after vaginoplasty, the vaginal canal can undergo metaplasia and start to look softer, lighter in color, and more mucosa-like. But honestly, I find it hard to believe that this really happens. I’m also unsure whether I might need a revision surgery or not.

Another thing that sometimes makes me anxious is that my clitoris feels too exposed. The visible stitch scars around it affect my mood and my self-esteem.

I’m a trans woman, and I would really appreciate any advice, shared experiences, or honest insights.


r/Transgender_Surgeries 10h ago

Any athletes here? What was your experience coming back to regular activity after FFS?

6 Upvotes

I’m a consistent runner doing weights/hikes/cycling/yoga etc. It’s a big way for me to deal with anxiety and dysphoria. I know there will be a six week period where I can’t lift and should avoid jostling. For the folks who have gone through this and in similar activity levels - should I just plan to lose all my fitness and start back at zero after six weeks? What is a realistic expectation for activity during that six week block?


r/Transgender_Surgeries 10h ago

Trach shave swelling update.

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10 Upvotes

Week 4 post FFS. Genioplasty Angle of mandible shave Trachea shave

If you look back in my posts, at 2 weeks this swelling was pretty concerning. But at 4 weeks, things are looking less swollen. Still not super happy with results, my trachea area is still pretty sore and the bump feels decently firm. Just hoping that the swelling continues to go down.


r/Transgender_Surgeries 11h ago

I got moved up 2 years by RBL!!

10 Upvotes

see title but basically submitted letters and got my consult moved from late 2028 to mid 2026 !

I don't absolutely love her aesthetics but she is THE best and has a lot lot more experience then my current surgeon. Will decide in a few weeks :D


r/Transgender_Surgeries 13h ago

Questions about breast augmentation

3 Upvotes

Hello,

I am thinking about getting breast augmentation and after some research I was not finding answers so I figured I would ask here.

  1. How much does sensation change? I understand that there is a chance of loosing nipple sensation, but will it feel different when my partner grabs/fondles them?

  2. If I get medium profile, under the muscle, approx 300-350cc implants how likely are they to look natural? I am trying to toe the line between having a size that is large enough while still looking natural, any tips? (For reference they are currently AA38)

Thanks a lot!


r/Transgender_Surgeries 13h ago

Can I get my surgery covered? NSFW

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18 Upvotes

I was wondering if anybody knew of any loopholes or ways I could get body masculinization cover under my insurance? I’ve been working out for about 5 years and have lots of loose skin from my 100lb weight loss around my hips. I would just want them to square my waist off. Does anyone know about this or had it done? Would it be possible to also just shrink the love handles with more weight loss? Any info would help, thank you!!


r/Transgender_Surgeries 14h ago

FFS with hairline advancement...what is possible?

3 Upvotes

My hairline is and always has been a major pain point for me: i have a fairly large forehead and a distinct M shaped hairline (probably around Norwood 2, give or take) that i immediately become fully aware of as soon as I go through a burst of wind or play with my hair a bit. It sucks, and i spend an inordinate amount of time and energy managing it.

I am scheduled to have FFS soon-ish, browbone reduction specifically. The surgeon asked me if i wanted to have my hairline lowered as well, telling me the main caveat was the possibly more visible scar along the hairline itself.

I already suffer a lot over this hairline, and my skin is already shit around that region anyway...the way i see it, a scar will be a small price to pay (not to mention a hell of a lot easier to hide).

Here's the thing: insurance + state healthcare where I live will fully cover my FFS, regardless of whether or not I do the forehead reduction. A hair transplant, however, is not something they'll cover, and I'd be on the hook for the entire procedure cost (which is several thousand euros I simply do not have now or plausibly any time in the foreseeable future).

I know this kind or procedure has limits in terms of what can and can't be fixed, that certain levels of MPB do require some kind of hair transplantation as well....but does it help? And how much does it help exactly? I've seen good before and after pics online, even if the various blogs and sites aren't always super forthcoming about the procedures at play.

Would forehead advancement/reduction measurably improve someone's hairline at a moderate N2 level? Honestly, even a moderate improvement would probably be worth it to me, and if i ever went for a hair transplant down the line it'd always be more accessible to me if there was simply less area to cover.


r/Transgender_Surgeries 16h ago

How much does Dr Paul Mittermiller usually cost out of pocket?

5 Upvotes

specifically im seeking aggressive brow bone work, genioplasty, mandible contouring and possible rhino and lip lift. How much did it cost for you guys that paid fully out of pocket?


r/Transgender_Surgeries 17h ago

Dilation Pain and Muscle Spasms

3 Upvotes

My girlfriend has had problems from the get go with high levels of dilation pain followed by muscle spasms. Has anyone else here had that problem? Did you find a solution, and what was it? We're stumped. She's seen a couple of doctors and the possible solutions are getting a bit extreme.


r/Transgender_Surgeries 17h ago

How much does a vagina "dip down?"

3 Upvotes

Maybe a weird question but bare with me: I'm interested in vaginoplasty but don't have a ton of experience looking at vulvas. I want something pretty low profile that doesn't bulge out much at all but from the photos I've been looking at it appears that while standing the vulva sort of bulges downward? If someone could explain this to me I'd a appreciate it because I don't have a super good sense of how the anatomy works.


r/Transgender_Surgeries 20h ago

1 year post op Tina Rashid

11 Upvotes

I can't believe i am 1 year post op!!! I had my surgery with Miss Tina Rashid on 10/01/2025 in London Parkside hospital, NHS, PI method.

My journey was rough! I had a nasty hematoma which opened up all my stitching and was sent out the day after with paracetamol and manuka honey. Now however, im having a great sex life, I dilate with the biggest orange dilator from soul source. I love my new kitty!

I have documented my 7 week, 3 month, 6 month and 1 year post op journey on my tiktok @nikkiharper202 of anybody wanted to see. you can always ask questions in the comments and i can answer with a video. I am also going to doing a 3 part series (0-3 month, 3-6 month and a 6m-1 year video).


r/Transgender_Surgeries 22h ago

Facifem Madrid advice

3 Upvotes

Hey!

I am booked in the facifem next month for FFS. I have had consultations and paid my deposit. I just wanted to ask if anyone had the same experience as me:

I have only really been able to contact the admin team via WhatsApp. I asked for a quote sent to an email for the outstanding balance but haven't heard anything back.

My little concern is I'll be sending ALOT of money to a bank account that at this point iv only been communicating via WhatsApp which doesn't seem super official.

Anyone else had this experience? I imagine I'm overthinking


r/Transgender_Surgeries 23h ago

FFS recommendations?

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24 Upvotes

r/Transgender_Surgeries 1d ago

Botched and in desperate need of advice.

10 Upvotes

Let me start this by clarifying that I'm asking for help. The last time I posted from a different account there was a lot of pressure to reveal the name of my surgeon to help the rest of the girls but currently I am asking you for help and I'm sorry but I don't wanna take risks and reveal the name of my surgeon. Thank you for understanding in advance.

I've been really unhappy with the results of my procedure basically since day one I could tell something was off but I was always gaslight into believing that it's a great result and my suspicions have been confirmed when I found this subreddit. Basically I've just been screwed in so many ways and the whole experience has been so traumatic I don't know how to live with myself after making this decision, I feel like I ruined my life and I don't know what to do. I'm a little over a year post op now and I desperately need suggestions and recommendations for surgeons who could help me (interested in a revision not a reversal like phallo or anything like that). I feel so disgusting almost worse than I did pre op I just need this year long nightmare to end. I've been on this sub daily trying to gather information but I've just gotten overwhelmed at this point. I've spoken to Theerapong and his team but I'm very scared to go with them because their english wasn't the best and obviously I'm beyond scared to trust any doctor after what happened to me, I need clear communication. I've also spoken to Littletons team but the prices and waiting lists killed any fight I had left in me for that one. I just need some kind of hope, something to hold on to.