r/phallo

Im interested in getting phallo but I’m really scared of the difference between pleasure pre op and pleasure post op.

I know there has been posts about sensations post op etc, I know that you can feel your penis and have orgasms, but *how* does it feel ? How would you describe it ? How is it different than pre op ? More/less intense ? More/less enjoyable ? More/less direct ?

Hey all!

about 8 ish weeks post MLD with Dr. Miro at Mt. Sinai. Realizing my phallus scar goes all the way up to the tip and a little on the top side of my phallus as well. Wondering any tips to reduce scars in this particular area. Is it safe to put silicone scar tape at the tip like that?

Thank u

TW: I briefly mention one anatomical term in this post.

Looking for some support. Still processing news I received last night after my electrolysis session.

Backstory: (Quick note to start- I’m very hairy).
With the way my surgeon stages ALT, he creates the urethra in the penis before anything is hooked up, and saves scrotoplasty for the very last stage.

My current/natal urethra sits below my dick, in between the labia. I was instructed to receive laser hair removal in that area in preparation for the UL hookup stage, since that is where the hookup site will happen with the urethra in my penis and my natal one. It is crucial that that area is hair free. Otherwise, I will have hair re-growth in my urethra. My phalloplasty team has in-house laser hair removal, but not in-house electrolysis. I required an external referral for this.

I started receiving laser hair removal down there in April of 2023. Up until November of 2025, my surgeon says I am welcome to do electrolysis as well if I would like. It's optional. To be safe, I begun electrolysis treatment in December of 2025, and stopped laser all together per my electrolysist instructions.

I had another electrolysis session last night, and found out through my electrolysis tech that it takes up to 2 years for any potential hairs to grow back from laser, since it is not permanent like electrolysis. She said she had mentioned that to me at the beginning of treatment and that laser is not permanent, which I do remember her saying now. But still feels like brand new information for me when I thought we were getting close to be doing and I could have the UL stage by the end of this year.

I'm feeling pissed, and devastated. If I had just started with electrolysis in the first place, I could've been nearly done with all of my surgeries, since my last necessary one was 1.5 years ago. Now I have to wait another 1.5 years to be completely cleared, making that a total of 3 years. 3 years that feel wasted just because my team did not give me correct instructions. Completely out of my control, even when I was rushing to get these surgeries done as fast as I could. I just cannot believe it.

Every. Single. Thing. In my life has revolved around these surgeries and I feel blindsided by this news. I've been going through this process for over 4 years now and I am beyond emotionally and physically exhausted. I just want to live my life. But now I feel indefinitely tied to my current job due to insurance reasons for ongoing electrolysis + future surgeries, needing to stay with this team, and still feel like other things are off the table because I don't have the emotional bandwidth to do so (like graduate school) due to still going through this process.

I don't have to get UL. I know. I could just get implants for the next stage and be completely done. And avoid the catheter trauma. But I feel I've come so far... and have sacrificed so much just to have UL. To be able to STP and most likely (due to still getting wetness now) be able to have cum come out of my penis after/during sex. So... yeah.

Let me preface this by saying that I’m not in the medical field at all, but I am an expert in surgeries at this point. Even without my gender affirming surgeries, I’ve still had more than most.

For 2 surgeries I became severely constipated, so much so that I had to be manually disimpacted. Since then, I’ve come up with a couple ways to make sure that never happens again.

I also had phallo recently and was able to poop on post-op day 2- i was farting up a storm on day 1 lol. It didn’t hurt at all and was actually quite soft. So for what it’s worth, here are some tips to avoid constipation.

1. Eat soft, easily digestible foods 2 days before surgery. My surgery was on a Monday so starting Saturday, I only ate pudding, jello, popsicles, broths, and smoothies. I think this also helped with bowel prep (only needed 1 enema).

2. Drink lots of water. This is obvious and goes without saying, but I’ll say it anyways. Stay hydrated! Drinking plain water after surgery sucks in my opinion, so I’d often have electrolytes put in to encourage new to drink more. The faster you can flush the anesthesia, the better you’ll feel. I will note that I didn’t take any narcotics post-op. I was on ketamine for the first few days, which probably slowed things down, but not that much. I know taking pain meds will cause constipation, so staying hydrated is that much more important. Also, this may seem obvious, but anti-nausea medication can also cause constipation.

3. Do not eat anything solid post-op until you are passing gas. Once you start farting, that’s a sign that your bowels are “waking up” from anesthesia. For the first day or two post-op I usually stick to smoothies, protein shakes, smoothies, and pudding. This is tried and true for me. I was hungry after surgery but I’d rather have the discomfort of hunger pains than having to push a rock-solid turd out, or worse, having to scoop it out.

4. Stool softeners are your best friend, especially post vaginectomy. I took 2 stool softeners daily until I pooped for the first time. Since then, I’ve done 1 per day and that has helped keep things soft and comfortable.

Once again, I’m not a doctor and this approach may not be right for everyone but constipation is a huge worry for me after surgeries and doing these things has helped me out immensely.

Hi every one, i just want to kindly ask if you guys can check and see whats the date of last post on my subreddit and if you guys are able to see all my posts with pictures, someone report that they just see few post on my sub from year a go nothing new even on the browser they cant see new posts , i would appreciate it if few guys here can check and tell me if they can see my posts?
If anyone know what could be the issue i would appreciate any help to resolve this
Thanks alot

https://www.reddit.com/r/Evolvestudio/s/3PwSmlZBth

I know it’s normal to feel pain and burning when you start to pee through your penis. I’ve been doing it for about a week now and am on antibiotics to try to avoid an STI. It was getting better with every single time I peed, to the extent where it wasn’t really painful anymore just uncomfortable. But today, I woke up to just a constant consistent burning near where my natal urethra is. Peeing was awful, I took some of my pain meds cus it’s just constant. I assume it’s just healing taking its course and having a rougher day, but I’m anxious person and would love to know if it’s happened to someone else

Please note I am in Canada so we are required to see a two specialized gender psychiatrists before going for surgery. While we wait for surgery, we have the option to keep seeing the psychiatrist for support, I am still waiting for my consult with the surgeon.

my dysphoria is crippling making sex a no go,(if I do push through, I can finish in the moment while I’m in it, it’s not horrible but then I just feel disgusting/shame then way worse dysphoria after)

my psychiatrist said that your sensation and ability to orgasm after post op is somewhat dependent on your ability to do so before surgery. He also said having the mind / body connection before surgery (using the parts) helps to aid with the nerve regeneration post op because that channel is already strong, or something to that effect.

So right now sex isn’t worth it to me and thankfully my partner is understanding of how bad my dysphoria is and doesn’t pressure me or make me feel bad. My thought is if it does truly help, I’d work on counselling through the dysphoria and negative emotions to pursue sex more, and if it didn’t I would essentially just wait until surgery is done to have a sex life.

So my question is, to those who were celibate pre op due to dysphoria or whatever else, do you think that made your sensation and nerve regen more difficult post op?? Or if you had other experiences, perspectives or advice to help me decide. I’m worried I’m making it worse for myself now.

Hello fellas! I am about 11 days post-op stage 1 with all the features (phallus creation, UL lengthening and hookup, vsginectomy, scrotoplasty, and glansplasty).

Showering is an ordeal, but going well so far. However, I feel like I should be washing my scrotum. Today I had my wife point the shower head at it on a soft setting but I’m not sure if that is good enough. Touching down there feels weird right now since it’s all numb, but I also want to make sure I’m keeping things as clean as I can. Tips are appreciated (pun intended)!

I know stuff swells more than we realize, so even though I feel like stuff isn’t swollen, Im curious as to when other guys noticed that their penis was not swollen anymore. I’m very curious to see how my dick feels when it’s naturally soft, I’m excited to see how soft/firm it actually gets and how much right now is just swelling. I just find it interesting. I’m about 5 weeks post op right now.

So I had RFF Phalloplasty on June 17th and recovery was going great until the tip started bleeding and my Penrose drain fell out which I think led to a gnarly concerning wound separation that is infected. And what’s worse is that my urethra at the end is next to it I think and is dying, I’m not sure what the situation is but my surgeon said it might affect my ability to get UL to stand to pee and that I might not be able to get that anymore but it all depends on if my wound heals and if urology can fix it or something. But rn all I can do is hope that the antibiotics work and that when I get my skin graft surgery on Tuesday they’re gonna also clean the wound up and everything. But I’m PRAYING my urethra gets better bc all I’ve wanted is to stand to pee, that’s literally one of the reasons that I got phalloplasty. I’m just bummed asf. But good news is that my phallus has stopped bleeding and my surgeon said it looked healthy. But yeah it sucks.

Well…after years of research and me finally deciding on a surgeon and having a consultation, I get a letter in the mail today that says she’s leaving. I’m in the middle of fighting with my insurance, because they denied me phallo even though it claims it covers all gender affirming care, and now this?

I live in chicago and wanted a good surgeon who is close to home. I don’t know what to do now. Cripps isn’t the only surgeon around who does phallo, but she was definitely the best option here with the best aftercare. I hate the idea of starting over, especially because the wait list is so long and I wanted to have the surgery within the next year.

Any advice?