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FTM Bottom Surgery: Alex's Journey
An honest conversation about decision-making, surgery types, recovery, and advice for others considering this life-changing step.
Agata Pajor
InterviewerAlex
FTM Community MemberCan you start by introducing yourself and giving us a bit of background information?
Hi! My name is Alex, and I am a Black trans man. I was assigned female at birth, but always knew that I was male. I struggled with my gender identity for a long time, but eventually decided to take steps to live my life as my authentic self.
One of those steps was undergoing bottom surgery, and I am here today to share my experience with others who may be considering this option.
Can you explain what bottom surgery is and what it involves?
Bottom surgery refers to any surgical procedure that changes the anatomy of the lower half of the body, specifically the genital and/or anal areas. There are many types of bottom surgery, each with its set of risks, benefits, and recovery process.
Common Procedures:
Phalloplasty
Constructing a neophallus using skin and tissues from elsewhere on the body. Complex procedure requiring multiple surgeries.
Metoidioplasty
Uses hormone therapy to enlarge the clitoris, then repositions it. Less invasive with shorter recovery.
Vaginectomy
Removes vaginal tissue to help trans men feel more comfortable and aligned with their gender.
The specific surgery someone has will depend on their individual goals and needs, as well as factors such as age, overall health, and anatomy. It's important to have a thorough understanding of the risks, benefits, and recovery process before deciding.
What was your decision-making process like when deciding to undergo bottom surgery?
It was a long and difficult process for me. I knew that I needed to make a physical change to my body to feel more comfortable and aligned with my gender. I also knew that it was a big decision that would affect the rest of my life.
I did a lot of research, talked to other trans people who had undergone surgery, and met with several surgeons to understand the options and make an informed decision. I also consulted with my therapist and talked to my family and friends to make sure I had a strong support system in place.
"In the end, I decided that bottom surgery was the right choice for me, and I am so glad I made that decision. It has been a life-changing experience, and I feel much more comfortable and confident in my own skin."
What was your recovery process like after the surgery?
It was a long and challenging process, both physically and emotionally. There was a lot of pain and discomfort during the recovery period, and I had to take time off work to focus on my health. But, I was also surrounded by a lot of love and support from my family and friends, which made all the difference.
I had to follow a strict schedule of physical therapy and wound care to make sure that I was healing properly and reducing the risk of complications. This included regular appointments with my surgeon, physical therapist, and primary care doctor. I also had to avoid certain activities, such as heavy lifting and sexual activity, for several months after the surgery.
Emotionally, the recovery process was a rollercoaster. There were days when I felt incredible and grateful for my new body, and there were also days when I felt overwhelmed and scared. It was a lot to deal with, but I was able to get through it with the help of therapy and support from my loved ones.
"Overall, the recovery process was tough, but I am so glad I went through with it. I feel like a new person, and I am finally able to live my life as my authentic self."
What advice do you have for other trans people considering bottom surgery?
💡 Alex's Advice
Do your research — Talk to other trans people who have undergone surgery and make an informed decision.
Understand the process — Make sure you know the risks, benefits, and recovery timeline.
Build a support system — Have family, friends, and professionals you can rely on.
Be patient with yourself — Give yourself time to recover both physically and emotionally.
Trust your own judgment — Don't let anyone else's opinions influence your personal decision.
It's a big decision and a big change, and it's okay to feel overwhelmed or scared. Just remember that you are not alone, and there are people and resources available to help you through the process.
And finally, don't let anyone else's opinions or expectations influence your decision. Bottom surgery is a personal choice, and the most important thing is that you do what is right for you and your mental and physical health.
Planning for Surgery?
While you're on your journey, explore our high-quality FTM prosthetics designed for comfort and confidence.
Explore Emisil Prosthetics →Thank You, Alex!
We're grateful to Alex for sharing his journey and insights with our community. Remember: every transition journey is unique, and what matters most is making choices that are right for you.