I hope you all get to have the surgery as well.

For those that have had full depth penile inversion while remaining on testosterone, how would you describe sensation for clitoral and vaginal orgasms, especially how it compared to you previous anatomy? Is anyone having multiples? Has there been any change to your refractory period?

I'm currently dating someone and I can see myself dating him for a while. He's currently attracted to me in my current pre-op body but he's currently unsure how he will feel about post op sex.

Im asking: Can anyone provide experience on how their relationship handled the transition? What are some important takeaways that you have?

He's mentioned that he would still want to have sex with other cis men and potentially be open. Im currently exploring the idea myself because I have had 3sum in a relationship but my partner decided to stay closed afterwards.

Edit 3*sum

Hi friends. I’m kinda stuck here and not sure what to do. I have health insurance through Kaiser Permanente of Northern California. They have what appears to be a very comprehensive and good quality transgender care clinic in the Bay Area. The problem is that all of their protocols involving bottom surgery require hormones and imply some kind of binary transition.

I’m AMAB, and I identify as nonbinary. I went to the Kaiser team seeking vaginoplasty and supplemental testosterone post-surgery. They advised that I had to be on hormones to tolerate low testosterone even though I plan on going on supplemental testosterone after the surgery. I feel like I’m stuck in this loop now where they’re insisting that I have to take estrogen, even though I no longer want to. I took it for three weeks, started to grow breasts that I didn’t want, asked if there was any other medication that could meet their goals for this, and was told that they had no other real path forward for me.

I know that there are other folks out there who were able to get this procedure covered through insurance. I’ll have the option of anthem Blue Cross Blue Shield for next year as part of open enrollment. My question is: should I try to get Kaiser to work with me on this, or go to BCBS and work with a different provider entirely?

I can’t really afford the surgery out-of-pocket, and while I’m not opposed to taking out some kind of healthcare loan, I’d really prefer to try and work with an insurance company to deal with this. I have really good coverage with Kaiser for everything else so I was really hesitant to give it up, but if Blue Cross Blue Shield can take care of all of the procedures and be relatively the same out-of-pocket cost, I’d be OK with switching to them.

How do I move forward with all of these walls in front of me?

Update 9/16/26 - Kaiser agreed to move forward without the hormone requirement. I have my surgical consult scheduled for October 15th. Yay!!

1).someone know a doctor can do vaginoplasty with out 2 independent psychiatric evaluations??
2).about this evaluation you bring from your country ??
3).you do the test were you do the surgery??
4).i read somewere to perform the surgery you need to have on the passport gender disphoria if you dont have will not do the surgery.

Hola a todos, soy un hombre de 30 años que desde siempre he estado seguro de que quiero tener una vagina en lugar del pene que me ha tocado, desde esa seguridad he decidido empezar a usar una jaula de castidad para acostumbrar mi cuerpo y a mí mente de cual es la anatomía que deseo incluir para siempre en mi. Espero encontrar amigos que tengan pensamientos similares. Soy de México.

Hi there! I've been curious about going through vaginoplasty for a while now but one thing in particular that I've been wondering about lately is whether it's possible to have surgery for a "t-dick vagina" when undergoing surgery. One thing I really love about trans men is how their clits grow and become more exposed due to taking testosterone, almost resembling a small cock, and that's my ideal "look" if I ever worked up the courage to go through surgery since I find the enlarged clit and labia really attractive.

But every AMAB vaginoplasty result I've seen seems to go for a regular pussy look which is fine but I was wondering if it's even possible to specifically ask for a bigger clit that looks closer to a small glans/cock (though not fully penile-preserving as I looked into that and it wouldn't give me the results I'd want).

So basically TL;DR I'm wondering if anyone knows if it's possible to get vaginoplasty for a pussy that looks like a t-dick and if anyone's asked or done it themselves too.

A while ago I posted here about how I originally started wearing women’s underwear because of PVPS pain, only to realize there was something deeper going on.

The short version was: when everything is supported and held flat, with no bulge, my brain just… goes quiet. When I can feel or see the bulge again, that annoying static comes back.

Eventually I had to admit that what I really wanted wasn't just “better support.” If I could choose what that part of my body looked like, I’d want it flat, without a penis and scrotum—basically a vulva-like shape.

That realization scared the hell out of me because I still see myself as a guy. I wasn't thinking, “I want to become a woman.” It felt way more specific than that, almost like my mental body map for what should be between my legs didn't match what was actually there.

At the time, I tried really hard not to overthink it. Maybe it was the chronic pain. Maybe years of discomfort had made my brain hate that area. Maybe I was confusing physical relief with dysphoria. Maybe there was some sexual stuff mixed in too. I basically told myself: don't rush into a label, don't make any huge decisions, just figure out what the hell is going on.

Well... life decided to throw another piece of information at me.

I've also been dealing with stubborn fatty liver for years. Lifestyle changes helped, but it always seemed unusually persistent, so eventually I ordered whole-genome sequencing, partly because I was curious whether there might be some genetic reason for it.

After a very long wait, the report came back.

And one result made me do a serious double take:

Possible mosaic XXY / Klinefelter-spectrum.

For anyone unfamiliar with that, XXY means having an extra X chromosome in some or all of the body’s cells. In mosaic XXY, not every cell has the same chromosome pattern—some may be XY, while others are XXY. It’s associated with a wide range of physical and hormonal traits, and some people have few obvious signs. XXY is also an intersex variation, though it isn’t a gender-identity diagnosis; people with XXY can identify in many different ways, including as men.

My first reaction was basically, Wait... what?

I gave the report to my family doctor. He hadn't suspected anything like this either, but to his credit, he didn't dismiss it. He ordered proper follow-up testing.

And... yeah.

It was confirmed that I do have mosaic XXY.

Hormone testing also showed that my testosterone is lower and estrogen higher than would normally be expected in a typical XY male.

Suddenly I started looking back through my life and going, "Oh"

And then, "Ohhhhh"

There are things about my body that I've noticed forever but never connected.

My arms and legs, hands and feet have always seemed relatively small or fine compared with other men around me. My body fat distribution has always looked more feminine to me. I've always carried more fat around my chest and lower body. My breasts are larger than most men I know. My penis is also smaller than average.

None of that ever screamed “genetic condition” to me. They were just random things about my body.

Except apparently my biology isn't quite as ordinary XY as I spent my whole life assuming it was.

And this is where it connects back to why I'm posting this here.

That feeling I described before—the relief when my crotch looks flat—is still there.

The “brain goes quiet” thing is still there.

If I could design that part of my body without worrying about surgery, marriage, sex, society, consequences, and all that, I’d still basically choose a flat, vulva-like shape over a penis and scrotum.

But finding out about XXY changed the emotional context around that feeling in a way I really didn't expect.

I want to be careful here because I don't think XXY automatically explains genital dysphoria. I'm definitely not saying, “I have XXY, therefore I secretly should have been female.” I know plenty of people with Klinefelter-spectrum conditions identify completely as men, and chromosomes aren't a gender-identity test.

But for me personally, it removed some kind of psychological barrier.

Before, there was always this thought in the back of my head:

You're a normal male. Why the hell would a normal male want his penis and scrotum gone? Where did this come from? What's wrong with your brain?

Now I know that, biologically speaking, I was never quite the completely typical XY male I thought I was.

And weirdly, that makes me feel... relieved.

Not devastated.

Not like my identity has fallen apart.

Relieved.

It's hard to explain without sounding like I'm saying XXY makes me “less of a man,” because I don't think that's true in any universal sense. An XXY man is still a man if that's how he identifies.

But emotionally, for me, learning this somehow gives me permission to stop comparing my body and feelings to some textbook version of a typical male.

Maybe my body has always been a little different.

Maybe my hormones have always been a little different.

Maybe my development has always been a little different.

So maybe I don't need to be so shocked that my relationship with my male anatomy is also... different.

It doesn't prove anything. But it makes the whole situation feel less absurd.

And honestly, I'm starting to see other things differently too. Some physical traits I used to feel self-conscious about—my chest, fat distribution, and relatively less masculine body shape—I suddenly don't dislike nearly as much.

There's almost this weird feeling of, Oh. So this is just me.

And the biggest surprise is that the XXY result hasn't made me more desperate to “fix” myself.

If anything, I feel less urgency.

I'm still married. I still love my wife and kids. The same worries I wrote about before haven't magically disappeared. My wife still knows about the pain and underwear, but she doesn't know the full extent of the genital dysphoria. I still have no intention of suddenly announcing that I'm transitioning or rushing into irreversible surgery.

Those practical problems are exactly the same.

But internally, something has shifted.

Six months ago, I was basically asking myself:

Why would a man feel this way?

Now I'm asking a different question:

Given that this is apparently the body and biology I was born with, what actually feels right to me?

That's a much less frightening question.

I still identify as a guy right now. I don't suddenly feel like a woman just because a chromosome test came back differently than expected.

But I also don't feel the same need anymore to prove to myself that I'm a “normal male.”

Apparently I was never quite as biologically typical as I assumed.

And weirdly enough...

I'm kind of okay with that.

And weirdly enough… I think I’m finally okay with that.

I’ve seen a few posts here occasionally touching on the topic, but is anyone aware of any East Coast surgeons that perform penile reduction as gender affirming care?

After getting the green light from my therapist that he’d support me in looking to get surgery to reduce the size of my penis, I realized my next hurdle is finding a surgeon. I’ve been recommended a place in Mexico that performs it, but obviously insurance wouldn’t cover something out of state. I’ve looked into it and I really can’t find much information online, and granted, I haven’t tried consulting with any local surgeons if it’s something they’d even consider, let alone perform.

I’ve had pretty strong gender dysphoria most of my life, but couldn’t really figure out “why”. When I learned vaginoplasty was an option, it was exciting because it meant finally being able to express myself in ways I didn’t think were possible. But having a vagina isn’t really the end goal I realized. I enjoy having a penis, but the size of it is the main source of my discomfort. If I could be one of the lucky people with a micropenis, I know I’d be the happiest version of myself. Didn’t get lucky at birth, so hoping anyone has any guidance on how to start looking into this type of surgery.

Thanks!

So I’m a cis guy (and plan to stay that way if I decide to actually go through with this, as far as presentation and everything) but I’ve been thinking a lot about vaginoplasty lately, like A LOT. Although I don’t necessarily have dysphoria/dysmorphia towards my penis. I would mainly get vaginoplasty for sex A. To increase sexual stimulation and pleasure B. To avoid having to douche and be ready to go whenever and C. Another reason that’s very important to me but I don’t feel fully comfortable disclosing, just know it would in a way protect my sexual partner(s). As I’ve been pleasuring myself recently I’ve come across quite a bit of trans porn and it genuinely got me thinking about me with a vagina. Sometimes I’d imagine myself with the vagina and would orgasm so much. I try to tell myself “nah don’t do it, it could turn out badly” or “you might wish you never did it and regret it later”, etc… But no matter how much I tell myself these things the thought keeps coming back. I’ve asked some friends about this and they think it’s kind of crazy, and tbh I can kinda see where they’re coming from but idk. Any advice/tips?

I have vaginoplasty scheduled this October and despite spending years preparing for this I'm having some doubts.

I'm AMAB, 31 y/o, identify as non-binary and gay but present as mostly typical cis male (albeit a pretty and femme-leaning one). I'm married and my husband is super supportive, has gotten behind this and will accept me however my body is. I've been on estrogen for 5 years, never really regretted that. I had orchiectomy 3 years ago and feel super happy with this, but surgery part always confused me because I wasn't sure if I did it because of genital dysphoria or for genuinely cosmetic reasons (I had verrryyy low hanging large balls, that were frankly uncomfortable/painful a lot of the time because of hanging so low - also looked out of proportion next to a smallish penis). I've even had a touch of facial feminization to dial back the masculine features a bit.

Ive never fully understood if I have genital dysphoria or if I'm just wired poorly and was destined to have a wayyyy too sensitive penis to ever enjoy sexual touch in a normal way. I have found a lot of pleasure in the last 4-5 years though by learning to have my husband slowly rub a tiny section more like a clit. I'm still kinda embarrassed about using my parts I guess. I'm not mentally uncomfortable with me or him touching it, but also yes it's still uncomfortable at times. So I do have enjoyment of my lower parts now, albeit only somewhat. And in many ways I still find having my current parts 'minimized' sort of sexy. But recognize that could also be something i've developed to make the best out of what ive been working with.

But it cant be the same as being intimate with my husband with actual penetrative sex, right?

I don't 'like' looking at that part of myself in the mirror, but it's not like it causes me such anguish either. Imagining looking in the mirror and see a flat front + vulva makes me feel good in some ways but really nervous in others. I think I'm having a hard time mentalizing what this will be like and instead am imagining what it would feel like to be happy about it vs dysphoric about it.

I always knew I was seeking this, and painfully longing for it at times, for physical reasons rather than legit gender dysphoria - and i never judged that. The idea of not having a penis doesn't exactly worry me. But the idea of having a vagina/vulva cause me to worry about missing my penis and about whether i'd actually feel dysphoric having one.

Part of me feel like since I knew I'd be waiting so long for this surgery to happen that I intentionally got really comfortable with what I have - the alternative would've been too much to handle for the 3 years I've been waiting.

I guess I'm finding myself weirdly worried now about missing what i've got now and/or feeling trapped wth something new that i only realize afterward doesn't actually suit me. even though in my head having a vagina seems like it would be enjoyable and allow me to fully enjoy a very important aspect of my life.

Does anyone have advice on how to feel more sure about your decision? Maybe there are things that helped you arrive at a decision to pursue surgery or not?

Im very open to general thoughts and others' experience. I think even just hearing from other men and men-adjacent people about how they've considered their own male genitals would be helpful.

If you made it this far thank you - I felt like context and explaining my feelings was necessary, but also recognize this was a lot.

I will be having penile inversion vaginoplasty at some point in the future and was wondering if anyone had piercings before their surgery, if their surgeon told them it could impact the outcome, etc. For what it's worth, I currently have a 4g PA and recently retired 10ga frenum.

Hey

Just thought that I would give an update after almost a month. The first 4 days or so was difficult, very sore, very painful but after that, the pain has decreased. At this point I don’t have a lot of pain just a little bit of sensitivity still. Nerve wise I’m still a little numb, some nerves have started working again and my surgeon said to me that it’s a good sign that it’s happening after this short amount of time. I’ve loved the first month of having a vagina and it’s the best decision I’ve ever made. I’m so glad that I have what I’ve always wanted for the rest of my life. If anyone has any questions about anything I’m up for answering anything.

Hi! I’m non-binary/male-presenting and I’m interested in vaginoplasty in Thailand, but I do not want to transition to female or take estrogen. I want to remain testosterone-dominant long-term.
Some Thai clinics told me that they require a period of feminizing HRT and psychiatric documentation, but I’ve seen at least one non-binary person with similar goals who managed to have surgery there. I also heard of a case with Dr. Chettawut where the testes were preserved/repositioned instead of removed.
Does anyone know:
-Surgeons in Thailand who accept non-binary patients seeking vaginoplasty without estrogen?
-A psychiatrist/psychologist in Thailand experienced with non-binary cases who could provide the required assessment/documentation?

I’m especially interested in first-hand experiences or contacts.
Thanks!

I know my questions are being a bit annoying, but I'm still extremely conflicted about what I want. Every time I think I have it figured out, my desire switches and makes me go back to square one again. What was the smoking gun for you? How to get out of this phase of constant doubt?

Hi everyone,

I'm still debating whether or not I should start taking steps towards vaginoplasty after years of thinking. I'm wondering about what are the best things about having a vagina, and which are not so good. Additional question, what made you finally realize you should get on the track?

Thanks in advance for answering!

My fantasy about body modification is about contrast, secrecy, ego, and transformation.

He is the kind of man everyone reads as -masculine the moment he enters a room: handsome, muscular, fit, confident, and intensely physical. Possibly a male bodybuilder or a successful CEO businessman, a man’s man. The type other men envy; the type people assume has everything figured out. Around his friends, he is known as a womanizer — someone who loves women openly, almost excessively, and whose reputation is built around desire, confidence, and conquest.
He is also full of ego. Arrogant. Difficult. The kind of man who can be an asshole to others because he knows how much attention he gets. He enjoys being admired, feared, and desired. He carries himself like someone who believes the world should make room for him. That arrogance is part of the fantasy: the more untouchable he seems in public, the more powerful the secret becomes.
The fantasy begins in public, with him appearing exactly as he does every day. Nothing about him seems doubtful or unresolved. He moves with the masculine confidence everyone expects from him: powerful, composed, and entirely in control. To anyone watching, it would look like an ordinary encounter with an ordinary kind of man — confident, attractive, and unmistakably masculine.
But I would know the real reason we were meeting.

The public version of him is only the surface. Beneath that familiar image is a private desire he cannot show to his friends, his admirers, or the people who think they understand him. The true purpose of meeting is not small talk or casual attraction. It is the secret agreement that, once we are behind closed doors, the attention shifts to what he keeps hidden below the belt line.
He loves to manspread. He loves the boldness of it, the display of confidence, and the way it draws attention to the part of him wedged between his thick, muscular thighs — the part everyone assumes is the ultimate proof of his masculinity. But in this fantasy, that same gesture becomes an invitation to inspection, secrecy, and revelation. In private, what was once expected to be obvious is instead carefully concealed, tucked away and held between his thighs as something waiting to be transformed.
Behind closed doors, the fantasy becomes intimate and deliberate. The focus is on helping him reshape what he has always wanted to change — taking the part of himself everyone assumes defines his masculinity and turning it into something beautiful, hidden, and deeply desired: a soft, intimate cleft shaped like a pair of delicate lips, with an almost impossibly sensitive gland used only for pleasure. Not as humiliation, but as fulfillment. Something he has imagined privately for years. Something that makes him feel more complete than the body everyone else assumed he was proud to display.
Part of his curiosity centers on sensitivity and pleasure. He imagines having something smaller, more delicate, and overwhelmingly responsive — a private point of sensation that exists only for pleasure. The idea fascinates him because it contradicts everything about the loud, arrogant persona he shows the world. He wonders what it would feel like if that hidden sensitivity were not just symbolic, but real. If the fantasy became a true part of his body. If the secret he carried between his thighs could answer him with the kind of sensation he has only imagined.

What makes the fantasy powerful is the contradiction. Publicly, he remains the ultimate masculine figure: broad, strong, confident, admired, envied, and difficult. Privately, he chooses vulnerability, secrecy, and transformation. I would meet the man everyone else sees — the cocky, ego-driven man who acts like no one can touch him — while knowing that the real reason he came to me is the private work of concealment, reshaping, curiosity, and release.

It is a fantasy about a man whose masculinity is so intense that it can hold the unexpected within it: someone who appears to embody male confidence completely, yet secretly longs for a body that carries beauty, softness, sensitivity, and mystery in the place no one would ever think to look.

Any you interested in helping make this fantasy a reality? This can be a top-secret, confidential project — just between the two of us. No one else needs to know.

Hey this is going to be my last post for a while but people can still dm me if they want advice

On Thursday I had a Vaginoplasty with Dr Larner in Brighton, I’m so beyond happy with no longer having a penis, I’m so ecstatic that I get to have a vagina for the rest of my life now. Everything went well and I should be out of the hospital by sometime next week. I will post again probably in like 4/5 months from now, so I can show the full result but I probably won’t post on here much now because I’ve completed what I wanted to do. Thanks for all the support from everyone. I’ve haven’t seen my vagina yet but I’ve seen around it and it feels surreal to finally have what I want.

Thanks

I can answer any questions people have I’m going to have time on my hands anyway so it will give me something to do.

I can't stop thinking about how bad I want a vagina and breast but mostly a vagina. How nice it would feel to look down and be flat and not have a penis or testicle there. Going to the bathroom and have to sit and knowing how it feels to pee with that equipment.

It’s great to see a community where people can share and interact freely without fear of being laughed at and that’s what I’m here to say . Always has been a guy from birth but honestly deep down I would rather be a girl or see what it’s like in a way , always wonder fuck what would be like being a girl.
There is a way Ik hrt or srs but is there a way of being a girl without people knowing and still think fuck he’s a guy but to me I’m a girl , like can just have surgery to get my cock removed or

Any help or advice would be appreciated

¡Hola a todos!

Me gustaría presentarme formalmente; me llamo Eduardo y tengo 31 años. Algunos de vosotros ya sabréis que estoy pensando en someterse a una vaginoplastia y he decidido que debe hacerse el año que viene. Probablemente por esa época. Pero ahora necesito vuestra ayuda con información sobre cirujanos en Tailandia que sean amigables con personas no binarias.

Así que también intento hacerme una idea aproximada del coste, ya que pagaré todo de mi bolsillo; mi condición de migrante dificulta encontrar un trabajo que me permita un préstamo personal, así que cubriré los gastos con mis ahorros y cualquier trabajo que encuentre aquí.

En cuanto a por qué Tailandia—bueno, llegué a la conclusión de que es más fácil de quitar que de añadir, y planeo preservar la mayor cantidad de tejido posible, especialmente el glande. Además, he visto resultados muy "naturales". Y es algo que solo puedo hacer una vez en la vida, así que planeo que sea lo mejor posible.

Debo confesar que me costó decidir entre hacerlo en España o en Tailandia, y bueno, esta última se impuso; principalmente por la estética. Así que, si alguno de vosotros tiene información sobre el tema, ¿podríais ayudarme, por favor?

También pido disculpas si mi mensaje suena un poco directo, pero el inglés no es mi lengua materna y utilizo un traductor para comunicarme con todos vosotros.

Tengo mis mensajes privados abiertos para todo el mundo.

Saludos desde España.

Edu

XoXo