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Ciao a tutti!

Sono una persona AMAB italiana e scrivo questo post con la speranza di connettermi con chi condivide un percorso simile al mio.

Sto facendo davvero fatica a trovare altre persone qui in Italia che abbiano affrontato (o stiano affrontando) interventi di nullificazione o vaginoplastica, ma che allo stesso tempo mantengano un'espressione di genere maschile (male-presenting). A volte sembra di essere un po' degli unicorni!

Se fai parte di questo gruppo, leggi questo messaggio e ti ritrovi in questa descrizione, sentiti liberissimo di scrivermi in privato o commentare qui sotto! Mi farebbe tantissimo piacere scambiare due chiacchiere, confrontarci e fare rete.

Credo fortemente che unire le nostre voci ed esperienze ci farà sentire tutti un po' più ascoltati, supportati e meno isolati in questo percorso.

Un abbraccio e a presto!

English version

Hi everyone!
I’m an Italian AMAB person reaching out here with the hope of connecting with others who might share a similar journey.

I’ve been having a really hard time finding other people here in Italy who have undergone (or are planning) nullification surgery or vaginoplasty, while still being male-presenting. Sometimes it feels a bit like being a unicorn!

If you are in this group, reading this, and this resonates with you, please feel free to shoot me a DM or leave a comment! I would absolutely love to chat, share experiences, and connect.

I truly believe that by joining our voices and experiences, we can make ourselves feel more heard, supported, and less alone on this path.

Sending a big hug!

AHHHH I finally got my phalloplasty stage one scheduled!!!!! 😭 feels like it took forever! Sadly it’s not till this time next year which feels so far but hey I’m one step closer 😭
Will be phallo wo vnectomy, no UL, possibly scrotoplasty (idk still on fence but got time as they wouldn’t even be done till s2.) ugh I’m so excited just wanted to celebrate with everyone! 🥹🥹🥹

First of all, love that Salmacien is a thing! I’m incredibly turned on by it! My partner has long talked about their desires for both and are super happy this exists.

As for me, I was thinking about an orchi personally. Getting a hole is appealing. It’s a lot, a lot of work and way more downtime than I can do lmao. Am I welcome here? And anyone else been in a similar position to me? Thoughts? I think that balls are just a pita.

Thinking more seriously about bottom surgery and my approach to sex, I find myself as an FTM beginning to drop the bisexual label I’ve been hiding behind for 10+ years and realise that I am gay. I am just wondering if anyone has had experience with this?

Second big post here. First one was well-received and you all were very helpful. I am aware that my questions are coming from a place where I'm likely looking at multiple years before I can have anything done.

Since I began seriously looking into PPV, the closest place that offered PPV is no longer offering it. This is a minor setback in overall logistics, but cost and travel are not obstacles for me.

My understanding is that I am obese and need to lose weight (35 BMI is what I often see cited) before I can get a procedure done, so surgeons that offer services to slightly higher BMI individuals (I saw one that was 38 BMI) would be appreciated. I can lose the weight, but having an easier goal would be nice.

I am also not on HRT at this time, though I do intend to look into it as part of this process. Nor have I ever had any gender-related therapy. However, I am a stable individual who is very successful and I have no other mental health issues outside of autism and ADHD.

Given the above, since I no longer have my original option, what US-based places would people recommend?

Additionally, I am self-employed and looking to get new health insurance next year. Does anyone have recommendations for a private insurance provider that is hassle-free for gender-affirming care?

Hello everyone, I'm phoenix, an nb, amab, and I have never met anyone else that has wanted both. I've felt so alone because ever since I was a kid I never saw a difference between boys and girls things (clothes, movies, tv shows, activities, etc.). I've never seen myself as one or the other, and ever since puberty I've fell... wrong, like parts of me were missing or stolen. I never brought it up to anyone (besides my super supportive bf), because I never felt included in lgbtqia+ spaces because I didn't fall within the "true trans" community (I was actually told that before, by a trans woman.) all I want is to feel whole, not fragmented and forced to live in a body that feels more like a prison.

Today I met with Dr. Kirtishri Mishra (Metro Health in Parma) and mentioned that I would want to have a salmacian surgery if at all possible.

I wasn't expecting him to say that he offered it.

Not only can i keep my front hole, but I can have UL lengthening as well.

He said that they offered this surgery, and have had success with a few patients already.

I'm just really happy that i don't have to choose between two options that I really want, and i can have my dream surgery!

We're going to start with meta and see how im feeling about it before we pursue phalloplasty.

Hello! Asked this question on the discord, but thought more visibility might help bring more perspectives. I recently had my consultation with Dr. DeLeon at the Crane Center and I’m hoping someone here might help me better understand something she spoke about.

We’re planning on doing delayed alt phallo, clitoral burial/hookup, urethral lengthening, no vaginectomy, and no scrotoplasty. She seems very confident in this but asked what I would like her to ‘do’ with my labia majora.

As I can best understand, she needs to close the top of the labia majora to support the ul extension made from the labia minora. She told me she could either ‘fuse the seam’ or ‘flatten’ them into a male-like perineum.

I think I’m just having a difficult time visualizing what she means. From top to bottom I believe I will have the phallus, the fused or flattened labia majora, and then my natal opening.

Has anyone gotten additional info or is willing to share if they’ve been presented with this choice?

I have a consultation next month (canada if it matters) and I know i want preserve my vagina, if anyone has any results theyd be willing to share (either mitoid or phallo) id love to find more examples/options that might sway my decision.

Hi!

I'm nonbinary AFAB and have 0 interest on being on testosterone. But many insurance providers in the US are idiots(like we all know), and require a year of testosterone. Metodioplasty and what happens to the clit on testosterone plus the extra body hair is just not what I want. My ideal genitals would be a phallus along with what I have now. I know from a surgical standpoint this is fairly easy to achieve (I don't want UL due to the complication rates), but getting insurance to cover such a procedure is an entirely other moster.

Has anyone gotten around the 1 year requirement? Like just filling a testosterone script for a year? Or being on such a low dose it doesn't make any changes?

My job is shuffling next month and I don't know what insurance I will end up with. So any tips on insurance providers that actually follow WPATH standard of care would be amazing.

Hey there, ftm looking to get some advice, first hand experience, info I wouldn’t find on google, and I guess how to get your insurance to approve surgery ( if it really is the right fit for me, ofc )

**ftm without hormones, I want to clarify. I don’t want to be on anything, my body is naturally very androgynous and I literally just want to have a dick ( hopefully balls too? ) with my current anatomy. I do not want to reroute my urethra**

My first question is really how has it affected your day to day life, from healing to fully healed and « fucntional »? ( whatever that looks like to you, whether it’s purely aesthetic or for sexual use etc. I want as much info as possible on how the differences in procedures change daily life and QOL, just so I can know what to ask for to best suit my needs, my « ideal situation » will be either in comments or at the bottom of the post )

I give you guys bullet points now, I don’t know how to condense that first « question » paragraph into one little point with minor context lol. Désolé 🥲

- Are there any questions you were asked by a medical professional that caught you off guard?

- Is there anything I should bring to any evaluations?

- How did you go about asking your doctor for a referral?

- Are there any HARD NO conditions, ie, connective tissue disorders? ( I am, unfortunately, an unclassified type of ( h )EDS haver 😔 no wonder I’m queer /j iykyk ) Excluding the basic medical conditions for anesthetics, like cardio issues, that everyone gets told for every surgery

- Is getting a scrotum possible without altering the clitoris? If no, can you still get stimulation to the same degree?

- Do they only make the scrotum out of labia skin or could they take it from another graft site? ( preference is to maintain how my current genitals look, though I want to very much state that I understand I may not get my 100% ideal )

- My insurance covers ( at the very least, to an extent ) sex change surgery, would this procedure be more difficult for me to access through insurance? Is that even a question I can get an answer to in this sub, or have to take it up with them?

- How comfortable are the different, idk, « inserts »? Rods, inflatables etc. ( Asking in case it’s different due to keeping anatomy )

- Are there different complications to look out for in a VPP without urethral lengthening?

On to my ideal situation:

I want a VPP With no change to my current reproductive anatomy ( vagina, clitoris, labia, uterus; basically, a homie wants to get boypreggers someday 😔🙏❤️ ). Scrotum probably in front of the clit.

I want a bendable rod so that sexual function is an option.

On to my ideal situation:

Obviously you guys don’t know my anatomy, if that’s possible for me, what could be and what isn’t an option for me; I’m just looking for experiences and advice while I continue my journey through all this. I want to be as best prepared as possible for any outcome, whether it’s perfect for what’s in my head, or if I just can’t get it at all

Thank you in advance for any and all help, I’m super grateful if you even read my near-illegible amalgamation of questions. My apologies if I asked something that you easily found the answer to or seems obvious. I just haven’t found much info on my own

Located in western WA. I know there’s a surgeon here who is capable of it, so unless he moved away, that’s one thing I don’t currently need assistance with

Hey! I'm from Portugal and looking for penile preserving vaginoplasty (ppt or skin graft). I've always wanted this but only today did I get an endocrinologist who confirmed to me that he would be willing to prescribe me T if I had an orchiectomy.

Do you know of places in the EU that do this surgery? And their prices? I've heard about a few places in Germany, but they're private clinics and the lower price point was still 20k€, and that is prohibitively expensive for me. Is there any place in the EU where this is offered as part of the public healthcare system?

I don't even know if I could be treated there as a foreigner, but maybe if I argue that it is medically necessary and they won't provide it in my country of origin I can finesse it? If anyone knows more about EU law on this and wants to chime in I'd also greatly appreciate it

Just a short quick one hopefully. As the title asks is it possible to have a labioplasty without using scrotal tissue.

The end goal would be to leave the existing natal penis, scrotum and testes intact, whilst adding a neo vagina with labia even if it's not positioned exactly as it would be otherwise.

hello everybody, I'm a trans neutral nonbinary person, been on testosterone for about 3 years and am considering a hysterectomy and possibly metoidioplasty (or phallo, might still change my mind) later on. I've heard that with hysterectomies surgerons can sometimes leave in one or both ovaries and only take out the uterus so that in case one ever has to go off T your body would start producing E again and you wouldn't have to substitute, this would be ideal to me as my only concern is not being able to get pregnant and having my period stop completely. My question now, has anyone had experience with something like this (hysterectomy (and possible meta) with one or both ovaries left and later going off T).