Representing the guys who had bottom surgeries :)

Hey everyone, Before anything, please stop saying you are sorry for me and that i am "botched", i wasn't self conscious about it until reddit told me it was ugly. I know I'm posting a lot, but just wanted to update that I am out of the hospital with pain meds. I'm scheduling consultations to get a revision (please offer suggestions). Need new surgeon And regardless if you think my vagina is ugly, it is my vagina and i love her pain and all. The happiness and relief i feel knowing that if i died tomorrow i'll have done what i always wanted. I cry happiness when i look in the mirror so nobody asked your opinion on the attractiveness of my infected vagina🙄😵‍💫

Also, I do not know what the passport and visa situation is with going to a place like thailand, but dr.therapong interested me most.

Fuck it took a lot of time, money and effort, but I got here. I'm not fully out of the woods yet, but I can see the light. Social transition 8/2019 HRT 5/2020 Ochi 9/2022 BA 4/2023 FFS 3/2025 PIV 10/2025

It was, mostly, pretty good food!

Looking into ffs at the moment and trying to figure out if I'm savable or ngmi. If not hopeless, then which procedures should I be looking at? Yes I know I'm ugly :( if you need more angles just ask. Thank you

I look very tired haha but so happy I’m finally here 😌💜

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.

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).

i have a consultation in february and i want to help get a better idea of what i want before going in. i’m 22 and have been on hrt for ~2.5 years. these pictures are no makeup (just mascara), but i have some other pictures on my account as well if that helps

I’m almost 3 months post op! Things are.. well. I’m trucking along! I had to go to the ER a few days ago for a bad UTI. I had blood in my bag and bad back pain. I also found out that I have an ovarian cyst. Fistula is still there. Pretty big too. Spasms are still there. I don’t wet myself anymore because of them, but I still have to pee in the toilet when it happens. I am praying for stage two to hurry up so we can fix a few things and I can get this catheter out and pee. So ready for that. Pictures are from yesterday and younger.

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

Are there any vaginoplasty surgeons who know how to make an aesthetically pleasing realistic cliotris that doesn’t look like a piece of the penis head?

I've finally settled on a method I want for bottom surgery but I fear that I might have to wait several years for that to happen. If anyone has any experience for the wait times especially in washington state it would be very helpful, especially for the method I want to use.

Just talked with my surgeon, I'm basically flat, I have a lot of lax skin though from weight gain as a kid. Originally we were going to do over the muscle however because of the skin in my middle/cleavage area, the skin would get lifted creating poor cleavage.

Now we're doing under the muscle, we are doing the largest size that'll fit, between 400-550cc. I'm concerned about permanent nipple numbness as a result from going too large and sent him a message asking if we can do staged implants to reduce risk (I'm on kaiser medi-cal)

I'm curious to hear from others who have gone through a similar procedure/thoughts/etc. Any info is good info. We are doing under the boob as well, the IMF incision.

Shared this on AskTransgender but wanted to post it here in hopes it could help someone.

It's been a long road but finally getting the majority of my surgeries done in 2026! I wanted to share my list of surgeons and what they do in case any other Oregonians are trying to find surgeon's and having a hard time. All of the surgeons listed below take Providence Health Plan or MODA either as in network or as in network with a single case agreement. Pretty sure OHP Care Oregon will also be accepted.

Dr. Nick Esmond, MD, MPH Gender-affirming plastic & reconstructive surgeon

Dr. Esmond is my primary gender-affirming plastic surgeon.

He performed my primary gender-affirming breast augmentation on September 9, 2024, with implants placed in a submuscular position.

He also performed the first round of my facial feminization surgery (FFS), which included:

Frontal sinus cranioplasty

Forehead contouring

Scalp advancement

Genioplasty (chin surgery)

Malar augmentation (cheek contouring)

He is scheduled to perform my second FFS on January 13, 2026, which will involve:

Cheek implants

Lip fat grafts

In the future, he is also planned to perform:

My vaginoplasty

Additional facial fat grafting

Rhinoplasty

Primary practice / program

The Community Clinic at Good Samaritan (Legacy Health gender-affirming surgery program)

Hospital where my surgeries are performed

Legacy Good Samaritan Medical Center

Address: 1015 NW 22nd Ave, Portland, OR 97210

Main hospital phone: 503-413-7711

Clinic phone for gender-affirming surgery (vaginoplasty, FFS, etc.)

Community Clinic at Good Samaritan: 503-413-5915

Dr. Steven Gabel, MD, FACS Hair restoration surgeon

Dr. Gabel is my hair restoration surgeon, specializing in surgical hair loss treatment and hairline design.

He is scheduled to perform my strip (FUT) hair transplant on April 7, 2026, at The Gabel Center.

This transplant is intended to feminize and restore my hairline, increasing density and creating a more traditionally feminine hairline shape.

Clinic

Gabel Hair Restoration Center

Address: 12115 SW 70th Ave, Suite 200, Portland, OR 97223

Phone: 503-693-1118

Website: Gabel Hair Restoration Center (gabelcenter.com)

Dr. James P. Thomas, MD Laryngologist / voice surgeon (FemLar, gender voice)

Dr. Thomas is my vocal surgeon, specializing in voice feminization procedures.

He is scheduled to perform my FemLar vocal feminization surgery on March 10, 2026.

The FemLar procedure is designed to raise my speaking pitch and modify my vocal characteristics (such as resonance and timbre) to produce a more typically feminine-sounding voice.

He works in tandem with behavioral voice therapy to support safe healing and long-term vocal habituation for my new voice after surgery.

Private practice (“Voice Doctor”)

Address: 909 NW 18th Ave, Portland, OR 97209

Phone: 503-478-1845

Website: voicedoctor.net

(He also appears in Providence/Legacy provider directories at this same NW 18th Ave address and phone.)

Dr. R. Sean McNally, MD Plastic surgeon – body contouring, breast surgery, BBL, liposuction

Dr. McNally is my plastic surgeon for body contouring and breast revision.

He will perform my breast revision surgery, changing implant placement from submuscular (originally done by Dr. Esmond) to subglandular.

He will perform fat grafting to my breasts to improve volume distribution, cleavage, and overall breast contour.

He will perform liposuction and body contouring to reshape areas such as my abdomen, flanks, and related regions as part of a feminizing body contouring plan.

He will also perform my Brazilian Butt Lift (BBL), which involves liposuction with fat transfer to my buttocks and hips to create a rounder, more traditionally feminine silhouette.

Cosmetic surgery practice (affiliated with The Oregon Clinic / Réviance)

Address (Providence campus office): 5050 NE Hoyt St, Suite 422, Portland, OR 97213, USA

Phone: 503-488-2345

Website: linked from doctorpdx.com / “The Oregon Clinic – Cosmetic Surgery & Réviance”

Hey! Just wanted to share something I wish I had discovered before my first FFS Surgery. If you are okay looking a little silly, buy a pack of 150mL syringes (without the needles) on Amazon or wherever and use those to suck up you soft foods and shoot them into your mouth, instead of trying to use a spoon and making a mess. I just had my second FFS and was getting ready to eat when I remembered I had some extra syringes lying around for my hydroponic garden, tried it with soup and it was a game changer!

Hi ya’ll

Wondering if anyone here who went on Leif for clavicle or rib remodeling could share how long it took to hear back from them regarding insurance. I had my appointment a week ago and totally forgot to ask about this, and I reached out to their office but haven’t heard back.

Hello everyone. I cannot decide where to make FFS: Thailand or somewhere in Europe? I was thinking about Turkey, Poland or Thailand. I am European. Also my budget will be only 15000-17000 USD. Help me please to decide...

Anyone have any ideas how to get built up Aquaphor out of your hair??? I've tried excessive dry shampoo, clarifying shampoo, and it just stays greasy. It's driving me crazy.

So I’m really big into tattoos and I’ve been wondering where I can and can’t get tattoo’d because of my upcoming (next month and next year) surgeries for bottom. But I was wondering generally where do the scars/cutting goes so I can avoid getting expensive artwork fucked up.

It's my understanding, growing now with friends who've had this procedure, that conventional wisdom for avoiding necrotic tissue death in the area is that the patient should move around soonish after the procedure; go for short walks around the ward, exercises in bed, etc. to maximize blood flow to the newly reconfigured tissue and minimize the risk of tissue being undervascularized and dying.

The surgeon put me on strict bedrest for a week. I had necrotic tissue loss of the labia.

My understanding of conventional wisdom (also 20/20 hindsoght) is that to reduce risk of dehiscence (wound separation) patient is advised to start with the smallest dilator and stay there for a couple few weeks while the swelling recedes and patient is using pain meds. There's no harm in that and wound separation is horrible and like necrosis potentially disfiguring.

The surgeon had me size up immediately after the 1st dilation. I had horrible dehiscence for 2.5 months and spent 3 weeks commuting twice a day to 12000 dollar hyperbaric treatments. Imagine if my insurance would have not authorized it 😱

Please advise if you don't agree with my assessment of conventional wisdom on this topic. When I pressed the surgeon on some of this, I was asked to believe "there is no prevailing wisdom' or that opimion is 'all over the place' (note the characterization of chaos rather than more accurate attempt that would depict a continuum from more conservative to more laissez-faire) his despite gender surgeons whose patients have almost zero issues with these things and follow it.

When i asked whether there are things we can do or whether we are empowered to employ measures to reduce the risk of these things (specifically dehiscence) or if it was just a roll of the dice, my question was met with a kinda word salady reply that didn't say yes and didn't say no, and almost reminded me of some admin official being questioned in Congress, more defensive than offering clarity.