How long should I wait between top surgery and bottom surgery?
Most surgeons recommend waiting at least 6-12 months between major gender-affirming surgeries to allow for proper healing and recovery. However, some procedures, such as hysterectomy, can often be combined with other surgeries.
Can I have children after FTM bottom surgery?
Hysterectomy and oophorectomy make biological pregnancy impossible. If you wish to preserve fertility, it is essential to discuss options like egg freezing or uterus preservation before surgery, you can also discuss this in a Fertility Referral Session.
Will I be able to achieve orgasm after surgery?
Sensation and sexual function can vary significantly from person to person and depend on the type of procedures. Metoidioplasty usually preserves much of the clitoral tissuem allowing for more natural and often immediate sensation., Whilst phalloplasty sensation may develops gradually over time as nerves heal and regenerate. Many patients are able to achieve orgasm after surgery, but experiences differ.
How do I choose between phalloplasty and metoidioplasty?
Consider factors such as desired size, sensation preferences, recovery time, surgical complexity tolerance, and long-term goals. Consult with experienced surgeons to understand what's realistic for your anatomy, you can also discuss this with our gender specialist psychotherapist.
What happens if I'm not satisfied with my results?
Revision surgery is common and often planned from the outset. Discuss revision policies and costs with your surgeon before initial surgery. Most surgeons offer some revision coverage within the first year.
Can I have surgery if I haven't had hormone therapy?
Most surgeons require minimum hormone therapy duration for optimal surgical outcomes. Testosterone helps develop tissue that's beneficial for certain procedures, particularly metoidioplasty.
How do I manage work and finances during recovery?
Plan for extended time off work (2-12 weeks depending on procedure and job requirements). Explore available financial support such as benefits, medical leave policies, and consider crowdfunding options if needed.
What support is available during recovery?
Many local areas have transgender support groups, both online and in-person. Mental health professionals specialising in transgender care can provide valuable support throughout the process and sessions are available to book with our specialist providers too.