A change~ I turned comments on!

It’s time to turn on blog comments!

I want to have more two-way conversations. So, I made it easier to comment on the blog without sharing your identity. I know it may attract some creeps, but if it is worth it to transgender people who need surgery info – I’m happy to give it a try.

5 thoughts on “A change~ I turned comments on!”

  1. Hello! My name is by most Makayla and Im starting my journey with my first Testosterone appointment next week but I’ve been researching phalloplasty, hormone therapy, etc since my beginning of high school (I just graduated). There’s so much I want to know and ask but I don’t want to make this long. So my number 1 question is how much was the (total) cost of your bottom surgery? Being as young as I am money isn’t even the beginning of my troubles haha so my age estimate for getting bottom surgery was maybe late 20s even early 30s but really to wait and see where my bank account takes me. My finding of your blog from reddit instantly attracted me because your phalloplasty has the best results I’ve ever seen. If I could I would definitely get surgery sooner, maybe mid to early 20s, but there’s so much more research to be done, and I feel like I could learn a lot from you and your journey. Could I call it fate that when I found this, you turned on comments?…maybe haha.

    1. Hi Makayla! Maybe it is fate : ) So, I don’t know your national context, but I live in the USA and use health insurance. My health insurance covered my surgeries. The way insurance works, you have your monthly premium that you pay to be insured; I’m not going to count that as a cost. Then, when you have certain procedures you have to pay coinsurance, a certain percentage— like the insurance pays 80% and your coinsurance is 20%. Finally, most plans have an “out of pocket maximum” which is the largest amount you could have to pay in coinsurance (and copays and deductible, but I’m keeping it simple).

      My insurance had a maximum out of pocket of $4250 per year, so that is the most I could be billed for the sum of all healthcare in a year. So, a top surgery revision, hysterectomy, phalloplasty, glansplasty, and scrotoplasty in one plan year. That included all of my medications, hospital, wound care, all doctor bills, office visits, physical and occupational therapy, mental health, anything that year.

      My plan rolled over to a new year, and my out of pocket reset. So, I had a maximum out of pocket of $4250 for the year which I was billed. That year I had the erectile implant and testicular prosthesis as well as voice surgery.

      Hospitals offer repayment plans, income-based forgiveness, bill negotiation, charity coverage, and so on, if you cannot afford it after surgery. The bills did not come for a long time after procedures and stays; like maybe 4-6 months later.

      Roughly, the amount I had to pay to medical providers was about $8500. I had disability-out-of-work insurance for any medically necessary reason and a hospital indemnity insurance which wrote me large checks for needing to be out of work which paid for almost all of it, in the end. I had travel and rental expenses, additionally. Feel free to ask other questions 🙂

  2. Hey hey! I was curious if you’d be willing to coauthor a section on best insurance policies for trans folk. Im at one week out if stage one and Cigna is trying to deny coverage for Integra and 1.5.

    Cigna is one of the worst insurances to have, but I’ve heard United Health is the best. While I’m not feeling quite up to figuring out the in-between at the moment, I’d love to send you my research if you feel like it could be a good addition in the future.

    You rock man!

  3. I’ve been researching phalloplasty since I was probably about 13 but never let myself look into the details very closely, my bottom dysphoria was terrible and even top surgery was far off so it’d be like torture to know more about it while I just have to wait. I’m 18 now and top surgery is in the works now, just waiting on insurance to give approval so I can set a date, so I’ve let myself explore more recently.

    For awhile I was really stuck in the mindset so many people had about phalloplasty, negative views on appearance, function, ect. It was almost like a form of emotional self harm, as I knew it was something I needed eventually either way. After doing basic research I found out that these beliefs were false and that phalloplasty is an amazing surgery, but I grieved for awhile over the fact that I still would never have a cis dick.

    While in quarantine I did some self analysis and was able to break out of the “I need to be as close to cis as possible” mindset. It really helped me accept phalloplasty as such a wonderful thing that I hope I can have one day. The arm scar was still off-putting to me, so for awhile I really really wanted abdominal phalloplasty. I still think abdominal is a wonderful graft site and it’s so cool some surgeons have found ways to do nerve hookups, but those surgeons are far and few between, making them inaccessible to me. I was devastated for awhile when I realized and began to accept this and I wasn’t sure what I wanted to do from there.

    I’ve heard about this blog for awhile and I finally decided to read through it. The past couple days I’ve been going through it from the very beginning, and I’ve read every single post up to this point now. I just want to say thank you. Hearing about your experiences made me realize something: in day to day life the tiny issues I had about rff will not matter. I loved hearing about your thoughts on all the scars you get over time, they’re a beautiful thing and it’s so so wonderful technology is so advanced that I can have a penis at the cost of just a handful of scars. Reading about sensation coming in, the simple joys of feeling it between your legs in day to day life. It’s so personal of an experience and I needed to hear it from someone. I won’t mind the arm scar, or scars at the base of my penis, or the potential need for medical tattooing. I’ll have a dick at that point, and the positive affect that would have would COMPLETELY outweigh any qualms I have about scarring or anything else. I want to have experiences like the ones you describe, and they are worth the cost of a simple scar on my arm.

    I plan to begin pursuing rff phalloplasty before the end of the year, starting electrolysis and scheduling consults and saving up money. This collection of experiences has brought me such comfort, my soul feels warm at the thought that this could be me one day. I’m at a point I’m even glad I’ll be able to have the scars I was once so uncomfortable with, it will be a privilege to have them and know that I am complete. I no longer have the view that phalloplasty is me “settling” since I can’t have a cis penis. It will be MINE and that matters so much more than simple trans and cis distinctions that don’t even mean much to begin with. I cannot express the impact this has had on me, I feel so joyous and hopeful for the day it’s my turn to have this. Thank you so so SO much for sharing your euphoria with all of us, this is such a valuable resource 🙂

  4. Just want to say i really appreciate the info youve shared, including the illustrations explaining things like scrotoplasty. Very useful for me as someone just looking into whether i want bottom surgery! I’d looked at phalloplasty before but didn’t really consider whether I wanted it, just dismissed it as it seemed like a very intimidating process. Best wishes

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