Mutilating Yourself into “Manhood”
A stitched-on phallus never looks like or functions like the real thing
(According to Facebook, a photo of a fake penis is offensive and not allowed. Photos of topless women thrusting their “top surgery” scars in our faces is just fine though. Go figure.)
My last post discussed what happens to the (relatively small) cohort of men who have their healthy genitalia cut off and sort of refashioned to appear female. Unsurprisingly, this rarely works out as planned and the complication rates are high, resulting in problems with urination, infections and the loss of a pleasurable sex life.
Considering that a “neovagina” lacks the length and flexibility of the real thing (an actual vagina), neovaginas are the body’s equivalent of a tailor’s false pockets; they appear to be real pockets, but they don’t have an opening as they are purely decorative. And if for any reason the neovaginas are not manually dilated every day for life, this deliberately created surgical wound heals over and the neovagina disappears altogether.
But enough about men; what happens to women who are desperate to be “one of the boys” standing tall at the row of urinals? Their fate is even worse than a man in womanface; sometimes the pursuit of a penis can kill you.
So many options, but none of them change your sexual anatomy for the better
One of the known, expected and longed for results for women taking large doses of exogenous testosterone is clitoromegaly, which is the growth of an abnormally large clitoris.
This might sound like a great idea at the time, but having a clitoris that is now no longer protected by a clitoral hood and the labia majora means that the clitoris is permanently rubbing on the wearer’s underwear and women have reported that they can no longer wear jeans as these are too uncomfortable with the constant tight pressure against the clitoris.
Additionally, an enlarged clitoris can lead to losing the ability to orgasm or to have such painful orgasms that women avoid having sex altogether.
Metoidioplasty is an alternative to phalloplasty in creating a male appearance. The ligaments that hold the clitoris into place are freed from the pubic bone to create a small penis appearing appendage. At the same time, a pretend scrotum can be fashioned from the labia, with inserts in place of testicles. The urethra is lengthened and repositioned to allow for peeing standing up, but the guys are going to notice that the neopenis is at most just over two inches (four to five centimeters) long. This will not allow penetrative sex.
Common side effects are wound dehiscence (a fancy way of saying that the surgical incisions don’t’ heal, they separate), infections, and urethral problems (because the urethra has been artificially lengthened).
The fallacy of phalloplasty
Phalloplasty (the creation of an adult male penis) is a procedure developed to replace/repair a penis that has been damaged or injured. The original purpose of this operation was to restore as much as possible, either the appearance and/or functioning of this body part that all natal males are born with. It is also used for men who have who have a normal penis but want a larger one than nature endowed them with. (And like phalloplasty for women, the results are not always beneficial).
Phalloplasty as an operation performed on women who want to be men is a more recent phenomenon. The secondary sex characteristic they have usually removed is their female breasts and the male characteristic they are trying to obtain is an adult male penis. Adult men desiring construction of a neovagina have a body part that can be used to line a surgical wound in the form of their penis (unless they have a tiny penis from puberty blockers that is), but women wishing to add a neopenis to their anatomy don’t have anything to use for this. You can’t remove and remodel a vagina into something else.
Unfortunately for women wanting to procure that most male of body parts, it’s not an easy or even surefire thing to obtain. Even if it all goes to plan (NB, it usually doesn’t), every phalloplasty is a multi-step series of operations and recoveries from these. Surgical revisions are not exceptions, but are anticipated.
According to this author (who is a urologist and surgeon licensed to perform these surgeries), women who undergo “gender affirming surgery” on their genitalia:
lose their reproductive function completely and almost entirely lose their sexual function, while their urinary function is also significantly impaired. Surgical complications requiring revision, which reduce the quality of life, are common.
A meta-analysis conducted by Wang et al. reported an overall complication rate of 76.5% after phalloplasty, with a urethral fistula rate of 34.1% and a urethral stricture rate of 25.4%. Veerman et al. also reported a urethral stricture rate of 63% and a revision requirement due to fistula or stricture in 73% of cases, concluding that genital gender affirming surgery with urethral lengthening is a complex procedure with a high complication rate. After addressing complications, no clinically significant differences in urological functioning were observed. Even after additional surgeries, 30% of patients lost the ability to urinate from the tip of the penis.
When phalloplasty is performed, the arm or leg from which the flap is taken is also mutilated. These limbs are damaged not only cosmetically, but also neurologically and functionally, and all develop pain.
The data shows that more than three out of every four patients (>75%) who underwent phalloplasty developed complications that are mostly urological. What other non lifesaving operations are performed with this statistical profile?
A recent review from California found that 55.3% of phalloplasty patients reported to inpatient, emergency department, and ambulatory surgery settings with complications during the first post-op year following surgery.

Other studies have found that it’s not just the immediate post-op period that is affected; this study and this one found that an outcome of gender affirming surgeries is a shorter life expectancy.
The average life span of women in Denmark is 81.9 years, but if you’ve had gender affirming surgery, you can expect to live on average 25 - 28 fewer years than your peers who have not had these procedures. Transgendered lives are shortened by about one-third due to psychiatric issues, the side effects of hormones used, cancers, lung, cardiovascular diseases, infections, and surgical complications.
Looks easy, but it’s not
Creating a realistic looking penis by rolling up a bit of skin off an arm or leg may look easy, but it’s not. Creating one that can mimic what the real thing can do is even more difficult. I won’t bore you with the laborious detail of connecting up multiple blood vessels, nerves and ligaments that are needed to create a pretend penis, but no one should be surprised at the less-than-ideal outcomes for many. This realistic assessment says it all really:
Even with the substantial progress in phalloplasty, a single technique that produces an ideal neophallus without complications has not yet been found, and given its complexity, it is unlikely that there will be a procedure in which revision surgery is never needed.
Iatrogenic Gender Dysphoria and Harm Cycle in Gender Affirming Care
The above heading is the title of an article published in the Journal of Sex & Marital Therapy.
The author references a letter published in 2008 that reads in part, "Is gender identity disorder in adolescents coming out of the closet?" We all know that ‘transing the gay away’ is certainly a motivator for some parents. Susie Green achieved infamy not just from her transing every child she could as head of Mermaids, but for her TEDx talk where she told the world that she had her presumed gay son castrated for his 16th birthday present.
No person is born trans; “trans kids” are created by adults who indoctrinate them for their own purposes and by adults who stand to make obscene levels of profits from elective genital mutilation aka “gender affirming care”. The Vanderbilt University video where it was stated that these operations “make a lot of money” made this abundantly clear.
What a great way to generate an income stream: tell troubled children and their parents that they can be fixed via constant medical engagement and then do treatments and procedures that guarantee that this prophesy is fulfilled because especially in the case of phalloplasty, there will most likely be many more “revisions” as complications occur.
In this video, a young woman and her mother describe exactly what steps this girl’s doctors encouraged her to take, even though in herself she never was convinced she was “really” a boy. Although she retained her female genitalia, her healthy breasts were removed when she was 14 years old.
I wrote here about how physicians providing gender affirming care are actually making their patients unhealthier over time because you can’t fix psychological problems with wrong sex hormones and surgeries.
This video is a discussion about the deaths of young women living as men and how transitioning gender was the major factor in their demise. Why aren’t the physicians who cared for them held to be complicit in their premature deaths?
Well, besides the fact that obscene levels of wealth are being generated off the bodies of people who are encouraged to act on their confused and delusional thinking.
The iatrogenic harm cycle that is in place now needs to be abolished.
This was really hard to read. And essential. The photos are appalling.
It is INSANE what is going on in this country, with the full-throated approval of the "Be Kind" crowd. Does this look "kind" to you??
I wish every one of these therapists and physicians would lose their medical license and be sued into oblivion. But I know it won't happen. It's outrageous what they're doing and being allowed to get away with. They are butchers.
This is horrific reading and pictures, maybe this should be shown widely instead of cute little picture books read by drag queens...