This can allow them to get and maintain erections and have penetrative sex. During a phalloplasty, the surgeon performs a vaginectomy and lengthens the urethra to allow for urination through the penis.
Disadvantages of a phalloplasty include the number of surgical visits and revisions that may be necessary, as well as the cost, which is typically higher than that of a metoidioplasty. A person may decide to have a scrotoplasty — the creation of a scrotum — alongside a metoidioplasty or phalloplasty. In a scrotoplasty, a surgeon hollows out and repositions the labia majora to form a scrotum and inserts silicone testicular implants.
For example, smoking slows down recovery and increases the risk of complications following surgery. If a person smokes, vapes, or uses any substance with nicotine, a medical team may consider them less eligible for this type of surgery. Following gender-affirming surgery, most people need to stay in the hospital for at least a couple of days.
After leaving the hospital, the person needs to rest and only engage in very limited activities for about 6 weeks or longer. A person who undergoes a metoidioplasty may have erections and enjoy more sensation in their neopenis.
However, the penis will be relatively small in size. A neopenis that results from a phalloplasty is usually larger, though it may be less sensitive. To have erections, a person will need a penile implant. If a person has urethral extension, the goal is to be able to urinate while standing after a full recovery from the procedure. Some studies report a high number of urological complications following phalloplasties. It is important to attend regular follow-ups with a urologist. Transgender men tended to report more frequent masturbation, sexual satisfaction, and sexual excitement than transgender women.
Transgender men with penile implants for erections experienced pain more frequently during sex than those without implants. However, they also reported that their sexual expectations were more fully realized, compared with participants who had not received implants.
Most people report satisfaction following the procedure. However, the complication rate is relatively high , especially in relation to urinary health. Therefore, it is important to work closely with a qualified plastic surgeon, urologist, gynecologist , and mental health professional to ensure the best outcome. The best way to understand what being transgender is like is to talk with transgender people and listen to their stories. People can realize that they're transgender at any age.
Some people can trace their awareness back to their earlier memories — they just knew. Others may need more time to realize that they are transgender. Some people may spend years feeling like they don't fit in without really understanding why, or may try to avoid thinking or talking about their gender out of fear, shame, or confusion.
As transgender people become more visible in the media and in community life across the country, more transgender people are able to name and understand their own experiences and may feel safer and more comfortable sharing it with others.
For many transgender people, recognizing who they are and deciding to start gender transition can take a lot of reflection. Transgender people risk social stigma, discrimination, and harassment when they tell other people who they really are. Parents, friends, coworkers, classmates, and neighbors may be accepting—but they also might not be, and many transgender people fear that they will not be accepted by their loved ones and others in their life.
It can be difficult for people who are not transgender to imagine what being transgender feels like. Gender identity and sexual orientation are two different things. Gender identity refers to your internal knowledge of your own gender—for example, your knowledge that you're a man, a woman, or another gender.
Like non-transgender people, transgender people can have any sexual orientation. For example, a transgender man someone who lives as a man today may be primarily attracted to other men and identify as a gay man , may be primarily attracted to women and identify as a straight man , or have any other sexual orientation.
People sometimes confuse being transgender and being intersex. Being transgender, meanwhile, has to do with your internal knowledge of your gender identity. A transgender person is usually born with a body and genes that match a typical male or female, but they know their gender identity to be different.
Some people think that determining who is male or female at birth is a simple matter of checking the baby's external anatomy, but there's actually a lot more to it. Every year, an estimated one in 2, babies are born with a set of characteristics that can't easily be classified as "male" or "female. There are many different types of intersex conditions.
For example, some people are born with XY chromosomes but have female genitals and secondary sex characteristics. Others might have XX chromosomes but no uterus, or might have external anatomy that doesn't appear clearly male or female.
To learn more about what it's like to be intersex, check out this video or click here. For example, many intersex people with XY typically male chromosomes but typically female anatomy are declared female at birth, are raised as girls, and identify as girls; in fact, many of these girls and their families never even become aware that their chromosomes are different than expected until much later in life.
Being gender non-conforming means not conforming to gender stereotypes. Gender non-conforming people may or may not be transgender. For example, some women who were raised and identify as women present themselves in ways that might be considered masculine, like by having short hair or wearing stereotypically masculine clothes.
Similarly, transgender people may be gender non-conforming, or they might conform to gender stereotypes for the gender they live and identify as. Most transgender people are men or women. Some people don't identify with any gender. Some people's gender fluctuates over time. People whose gender is not male or female may use many different terms to describe themselves. One term that some people use is non-binary , which is used because the gender binary refers to the two categories of male and female.
Another term that people use is genderqueer. If you're not sure what term someone uses to describe their gender, you should ask them politely. It's important to remember that if someone is transgender, it does not necessarily mean that they have a "third gender. For more information about what it's like to have a gender other than male or female or how you can support the non-binary people in your life, read NCTE's guide Understanding Non-Binary People.
Telling someone that a core part of who they are is wrong or delusional and forcing them to change it is dangerous, sometimes leading to lasting depression, substance abuse, self-hatred and even suicide. However, many transgender people find it helpful to get counseling to help them decide when to tell the world they are transgender and deal with the repercussions of stigma and discrimination that comes afterward. Transitioning is the time period during which a person begins to live according to their gender identity, rather than the gender they were thought to be at birth.
Because GCS is considered a major surgery, it is essential to select a knowledgeable and skilled surgeon.
Read more on GCS surgery. Our staff knows that each patient has her own unique needs and expectations, which is why we take an individualized, patient-centered approach to gender transition services. During the preoperative consultation, your surgeon will take the time to discuss and understand your goals for gender transition. We want you to feel comfortable and happy with your decision to pursue gender transition services with us.
At the International Center for Transgender Care, we understand that surgery is a vital component of the male to female transition process. Because these procedures are so important, it is paramount to choose a surgeon with specialized knowledge and skill.
Our board-certified surgeons have more than 20 years of experience treating transgender patients. We are proud to offer all of our services in a respectful, welcoming environment at our world-class surgical center in Dallas, Texas.
We look forward to assisting you in achieving the very best possible results for all of your gender transition procedures. Contact us today to schedule a consultation at I was shown the utmost respect by every single person starting with Angela who guided the paperwork and credit card process over the phone to the receptionist, nurses, on-call nurses, and of course Dr.
This was the first time I have ever had surgery and I am beyond happy with the total experience. This staff and surgeon were top notch. They treated me in such a friendly manner and really took the time to access my individual needs. I left there feeling like I was a part of their family and can not see myself going anywhere else for this procedure. Toggle navigation.
Peter Raphael Dr. Scott Harris Dr.
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