r/salmacian

put simply, i want to preserve the appearance of testicles, but more like the appearance of ball implants in the labia majora like trans guys get, rather than natal. i also want my penis to look more like a large tdick, including having labia connected to clitoral hood.

how i imagine getting this is starting with penis preserving vaginoplasty. if possible, have my natal testicles preserved and kept in the new labia majora, but i can settle for losing them and getting ball implants later down the line. as for the appearance of my penis, i can only imagine some kind of modification to the foreskin to create the labia minora which connect to create the clitoral hood. im fine seeing some shrinkage if thats what it takes to make this feasible

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?

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.

Hey, so I'm a transman married to a cisman. I've only been on T for a month now, but I've wanted phallo for 15+ years. The more I look into options I'm really wanting to keep my front hole but get urethral lengthening. I'm a bit worried about the risk of complications though, and even finding a surgeon who offers it where I live, which is BC Canada.

I enjoy penetration but really dislike anal. I've tried to enjoy it but it just isn't for me. I know if I don't keep my front hole that for my husbands benefit I would just have to suck it up and do it (not in an abusive way, it's important to me that he's happy in our sex life.) He is bi/omni, prefers women. So my transition has been a bit difficult for him to come to terms with, but he is accepting and supportive of me, still attracted to me and okay with me getting phallo even though it isn't his preference. Our sex life is great and I don't want to lose that.

Urethral lengthening is important to me for gender affirmation and overall comfort in public bathrooms. I'm just worried about choosing it and things not working out in the long run and having a bunch of complications. I'm not sure if I should just choose one or the other and really struggling to make a choice. I'll be getting set up with a surgeon soon and I'll need to be able to tell our trans health authority what I want so they can give me a referral to the right place (again I'm not even sure of surgeon availability that offers what I truly want.)

I guess I'm just looking for others opinions or stories, good or bad, that didn't have a vaginectomy but had urethral lengthening.

Edited to add for clarification - This isn't just for my husband. This is what I want in a perfect world for myself. I do just also worry about him and our sex life if I weren't able to go through with it, or find the risks aren't worth it. He has never expressed for me to keep my vagina, and has said we will figure it out if I choose not to. I want to keep it for me, but also for him but not because he 'needs' me to. I enjoy penetration and don't want to lose that with my husband, but just really dislike anal. We have been married for 11 years and have 4 children so I do weigh him into major decisions. Yes it's ultimately for me, but I can't pretend like I don't care about him in it all too. I wouldn't decide to keep my vagina solely for his benefit though. If I think the risks aren't worth it, I will likely forgo UL because that's what I want. I can live with that decision if I have to, I'd just prefer not to as STP is important to me.

TW: natal genital mention (sorry in advance if it's poorly worded, I'm trying my best!)

I'm a transmasc enby who's had top surgery and would like to have bottom surgery (VPP) eventually. What bottom dysphoria I do have comes from the absence of a dick, not from having a vagina. I'd want UL and probs scrotoplasty (undecided on the latter--i know VPP with UL has a more-or-less guaranteed risk of complications, and it's still the route I'd wanna go as of now). For those who've had VPP (with UL ideally) (not meta in this case), I have some questions:

Did you (or do you want to,) opt to keep your clit (or t-dick) and hood intact? Or did you opt to get those incorporated into your phallus and/or scrotoplasty?

What made you choose the route that you did, and what was the recovery like for each?

Who did you get surgery done through, and how were your experience with your surgery teams?

Are you happy with your results?

I’m an afab nonbinary Demi man. I want hormones and have even been dreaming of the surgery but I am scared I’m not valid enough. I feel connected to womanhood as I was forced into skirts and dresses until I was 19 years old. I was forced into this because of a minority religion and as a result, i felt evil for feeling like I was in the LGBTQ community. Anyway, I feel mostly woman internally but I also feel a sliver of a male soul slowly growing again inside my spirit. Last year, I had raging dysphoria for male characteristics, feelings and even my sense of internal self was a man. I go to a day program, hang out with a lot of guys and am relearning how to feel my manhood again. However, I feel like it’s been so long that my male side is going to be dormant forever. I don’t know how to reawaken my soul. I know deep way down I’m not entirely a woman but I feel like the man inside of me is drowning because of me not allowing it to come out for so long. I am not going to pursue hormones or surgery until I figure shit out. Does anyone have advice for me?

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.

Hi, I’m a trans man and trying to figure out what surgery’s I intend to get in the long term so I can start the process and eventually be happy with my body. I’ve been on T since 2019 and had top surgery in 2021. I live in Ontario, Canada, I know surgery is covered by our healthcare but I don’t know the full details, I’ll be restricted in that sense as I can’t afford to pay out of pocket.

I’ve known that bottom surgery is something I’d be wanting eventually but haven’t made up my mind on which kind. I’m conflicted for a few reasons: I want UL, I’d really like to be able to stp (it’s something I have quite a bit of dysphoria over), but I also don’t want to get a vaginectomy (I don’t like anal sex). I don’t think I want scrotoplasty but I could go either way.

Meta is the surgery I’ve done more research into, based on my growth from T I think I could be happy with this but from what I’ve seen it’s really both or neither for UL and vaginectomy. If this is what I settle on how do i decide between them? Has anyone gone through this? How did you decide? As I said before I have a lot of dysphoria about not being able to stp, I don’t want a vaginectomy because having the hole itself has never bothered me (I still plan on a complete hysterectomy) and I like it for sex as I don’t like anal.

Phallo is something I haven’t looked that much into, penetrating during sex or having a bigger dick isn’t that big of a deal for me which is why I lean towards meta but if it’s possible to have UL and no v-ectomy will phallo I’d definitely look into. My main concerns with phallo are the appearance and healing process, I know everybody’s different and I’m scared if I did have it that I’d end up unhappy with the appearance. My other fear is that I won’t do well with the healing process from the skin they take, I have a skin picking disorder and I can’t stop myself from scratching/picking at “unsmooth” skin, especially on my arms/face/head/chest, I’ve seen pictures of the healing process and I don’t think I’d handle such a large scabbing area.

Any advice/insight would be greatly appreciated.

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 live in a pretty remote area where there aren't a lot of openly LGBTQ+ people. I regularly travel to larger cities nearby with larger communities but I find myself feeling like I'm outside looking in.

I want people to know who I am and know/ feel like I belong in LGBTQ+ spaces but I find myself feeling disconnected and left out. I am AFAB and present fairly feminine so I understand the misinterpretation.

Does anyone else struggle with this or have any advice on how to feel more connected to the LGBTQ+/ Salmacian community?

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.

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.