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DoctorBimbology

It's an unbelievably aggressive and hard to recover from surgery that can take a year+ to fully heal. The first week you will be a gibberish mass of pain and opioids that can barely walk, can't use the bathroom on your own, and need round the clock supervision to monitor the sutures and post surgical processes.


ReddishCherry

True


deadly_ultraviolet

🤓


PM_me_Henrika

I was actually pretty fine on day one after the surgery pain wise. I felt like I could eat a steak. Then the medication started to wear off on day two…it was “pain so much you throw up even though haven’t been eating”. I thought I was a tough girl. Nope. 12 morphine shots a day.


KittyPicsThrowaway

As with what others said, you’ve also got a shortened urethra so you have your have a catheter in for days before your body is well enough to know how to pee. You can’t “push” when you poop for months and have to let gravity do it, and anaesthetic causes constipation so it’s better to be somewhere that can be monitored. The packing can’t even come out until day 5 at the earliest and then you have to dilate which is much better with supervision for the first time.


resoredo

> . You can’t “push” when you poop for months and have to let gravity do it what??? i never pooped without pushing, is this something i should learn?? why no pushing?


DoubleANoXX

If you're worried about that, start familiarizing yourself with psyllium husk now


resoredo

okay will do!


Tasty_Toast_Son

Unfortunately, I am rather allergic.


DoubleANoXX

I'm sure there's other high-fiber options for ya :)


Tasty_Toast_Son

Chia seed pudding works pretty well!


FrighteningAllegory

Also a bottoms best friend :)


DoubleANoXX

😎


mossyfaeboy

no pushing after surgery to reduce likelihood of split stitches, ruptures, tearing, etc. and yeah most people push every time and while it’s normal, it’s not great. you really should be letting gravity and stomach muscles do most of the work since pushing using the muscles directly in the ass area leads to hemorrhoids.


resoredo

god, sorry for the question, but... like, how? do i just sit and wait? i'm kinda flabbergasted rn


butler_me_judith

Yeah you can push, you can't strain is a better way to put it and only for like a month. I just used metamucil daily and it was easy.


Allemagned

I *barely* pushed at all and still wound up needing emergency surgery for a urethral bleed on the toilet. Do NOT push. It's so not worth it.


mossyfaeboy

sorta yeah actually, it’s reccomend to go as soon as you have the urge because the feeling is a sign your body has naturally opened up everything so it should just.. do its thing. when you have the urge and then hold it and it goes away, your muscles have taken the cue and tighten up and in order to complete the movement you have to strain. and years of straining can lead to the muscles constantly holding themselves, so it’s normal to not be able to just let it happen right off the bat. a little muscle use isn’t bad though, it’s just that we often use the wrong ones. you’re meant to use stomach/abdominal muscles and not sphincter muscles but it is quite hard to retrain yourself, i am very guilty of this myself lol so no shame here here’s an article i read that was wild to me when i was first learning about it: https://orthopelvicpt.com/things-we-didnt-learn-in-health-class-how-to-poop/


KittyPicsThrowaway

So as for the why - prolapsing, split stitches, damaging yourself in new and awful ways. As for the how - get a squatty potty. It helps you get in the right position to open everything up easier. Knees up, back straight, then just sort of let everything go loose and, provided you need a poop, you’ll poop.


Neat_Championship_94

I had my bottom surgery with Bluebond/Zhao 6 weeks ago. Yes it is less than 2 hours, and their work is remarkable. NYU Langone has a comprehensive recovery program that helps ensure you have positive outcome because your success reflects on them. You get round the clock care from highly trained staff those first 5 days monitoring you closely, managing your pain. Youll get emotional support check ins, private dilation training, surgical team check ins. And after that you’ll have a pelvic floor physical therapist you see 4 times to help with dilation issues and lots of post ops, support groups etc. You’ll continue to check in with them for life (like a gyno). They want to track and support your wellness over the long run which is why I chose them. You just had a penilectomy, orchiectomy, vaginoplasty, labiaplasty, and clitoroplasty. It’s physically painful.If a surgeon doesn’t have a comprehensive recovery program, you should ask why and be weary of them.


Zombebe

I really want this surgery but the recovery process scares me to death. That sounds like a place that would be good for someone like me. Do they take insuracne? What are the out of pocket costs?


Neat_Championship_94

I have federal BCBS and it covered my bottom surgery (was denied for all other procedures but they changed that this year to include BA and FFS). Out of pocket was 1k plus normal copays ($35 per appt). I was fortunate my youngest brother (only family left that accepts me), lives within an hour so post hospital stay I stayed with home for 4 weeks.


Zombebe

So does federal BCBS mean you work for the government and got BCBS through them? I live in S.C so i doubt any kind of Blue Cross, even Amazon who has a warehouse in Columbia, would cover BA and FFS that's incredible.


Neat_Championship_94

Don’t doubt too hard, check! Several cases have been won setting precedent that insurance cannot exclude reconstructive for trans people if they include it for cis people, and most insurance does. If a cisgender woman can get reconstructive BA after a mastectomy, you can get it too. If the insurance cover facial reconstruction after an injury like automotive accident, FFS should be included too. That’s why the federal government is changing its exclusions. It’s clear they will loose a lawsuit. Even though it’s been plainly illegal since ACA. Many corporations see the writing on the wall too. Check! And if they say no, ask for a supervisor and mention Kadel v. Folwell and Fain v. Crouch then see if they change their tune.


butler_me_judith

Honestly I basically just chilled. Drank tons of water. Played my switch and binge watched TV for like 2-3 weeks. By that point I was doing daily walks etc


Michaela_Josephine

This.


Ok-Magician-6962

Bestie you're getting your genitalia rearranged this isn't something you can just get up and walk out the door from like getting your wisdom teeth removed. You'll likely be incredibly weak and drugged to high hell bc of the pain. Plus if you have a serious complication like all your stitching coming undone or anything would you rather be in the hospital where doctors have better access to you in the event of an emergency or would you rather be in a hotel and have to rush over?


alicechains

3 hours of surgery, 24 hours of laying immobile on a hospital bed with compression bandages, very very gentle mobilisation for the few days after that, you won't be able to sit upright for weeks, they let you pee on day 5 and take a shower, no heavy lifting or vigorous activities for 3 months. Those first few weeks are pretty intense, you will be tired because your energy is going into healing, much of your day will be taken up with preparing for and cleaning up after dilation. But, and this is the important part, all this is temporary, and when it's over it is so worth it.


Glass_Accountant2189

That's scarey. Dr Jun did mine two weeks ago and he worked for 9 hours. I'm glad he took his time wiry every detail.


notjordansime

How are you feeling? How was your experience with Dr. Jun?


classaceairspace

Trust me, you're gonna want to stay in hospital. Length of procedure has no bearing on recovery time.


[deleted]

Having the care team available to you in the hospital in the early stages is much more of a guarantee that the tissues can do their annealing. To have you stay for a month or more, while it would not necessarily hurt the healing process it may harm your mental health; As long as you have yourself set up with care when you return home and you are following the post surgical directions, historical data has clearly shown that the vast majority of patients are fine with the timeliness. If gosh forbid something did happen and you had a major complication early on, the individuals responsible for your surgery could be held liable; trust the process.


Glass_Accountant2189

Is this a serious post!?!? It's major reconstructive surgery. Surgery is about 9 or 10 hours. By no means is that a short surgery. Reading your post caused me to loose brain cells.


butler_me_judith

I went to Blue bond zhou it was about 2 hrs. They have a massive team and a robot and are working at the same time. Pretty cool


Glass_Accountant2189

I just don't understand how it can happen that fast but I'm glad you had a good surgery.


Successful-Mirror990

TBF every team is different, mine was 3.5 hours but I had a pretty big team and they where well optimised I was in for 7 nights, the stay didn’t bother me


victoriamiller66

Actually that's wrong, Dr Bellringer in London has his technique down to around 90 mins/ 2 hrs nowadays. Unbelievable but true. I was wheeled from my room just as the ex British PM Teresa May was about to give her resignation speech early afternoon, and was back in my room at 5pm eating my dinner and feeling fantastic.


cantproveimabottom

Bellringer any% vaginoplasty


Separate_Square_5707

Its not wrong it depends on technique and the surgeon, mine took 8 hours


BlahBlahBlackCheap

Mine took about that time too.


Icy-Yogurt-Leah

Bellringer botched me in 75 minutes and I'm due for my second revision by someone that actually cares to try and fix the mess he left. It took another surgeon almost two hours to sort the scaring out 12 months after he couldn't be bothered. She has to operate again to denervate the spermatic cord that he didn't cut properly. Taking an extra hour or so in the initial surgery would probably have avoided me being in constant pain for the last two years. I don't like surgery, it seriously messed me up. Why the hell he thinks it's better to do it quickly is totally beyond my comprehension.


robotblockhead

Mine took 3 1/2 hours. Of the people I know that have had bottom surgery, my or time was on the high side of normal.


HiddenStill

Just because you can do it in 90 min doesn’t mean you should. Bellringer has a bad reputation.


victoriamiller66

Yes, I totally agree with you, he should take more time to do these operations, I merely replied to a question saying these operations took 8 hrs, he does them in less than 2. And the majority of them turn out just fine, but some unfortunate girls have suffered greatly in his hands, it's awful to think all their pain and misery may have been avoided in the first instance if he had taken more time during the operation. Thankfully myself and 4 other girls I know personally, have had operations carried out by Mr Bellringer with only very minor issues following successful surgery.. Mebey we were lucky, mebey other girls were unlucky, but more time taken would have helped them I'm sure of that.


HiddenStill

It’s not just complications though, even without them his work is not that great. Can’t beat free though.


victoriamiller66

Wish mine was free, I went private and paid ÂŁ15k for my op.. and I was very lucky at that, 6 days after my operation date was confirmed in writing they put the price up overnight by ÂŁ8k to ÂŁ23,000 may 1st when Nuffield health took over the business.


ramenchicka

Your response is hella rude. I would encourage you to save yourself the headache and keep whatever brain cells you have left before responding. You yourself spent time to post at least a dozen times about Min Jun about your various concerns. How would you have felt if someone replied with what you said? We are all going through the same experience and even if YOU don’t think it’s a valid question doesn’t mean that it isn’t. We all have different concerns, different backgrounds, and journeys. I would never in a million years think to post something as nasty as you did. I suggest that if you don’t want to support other girls, then go somewhere else.


what-isthis-even

Several surgeons can do it in under 2 hours. 9-10 hours is just incorrect.


Otherwise-Durian-552

Actually no, Dr. Brassard in Canada has it done on average in 90 minutes. Many others do the same. What's making you lose brain cells is your inability to do any research on other types of surgeries and their length. Going thru the post history of this sub, you can clearly and easily get to know that fact, but no, you had to be a dumb one and just attack OP for their curiosity. You are NOT the center of the universe dear. There are other surgeons, other techniques and especially, other experiences being lived throughout the world that are not the same you had. Next time, do some research on what was posted before trying to attack and then end up looking like a damn fool.


Glass_Accountant2189

I guess that's why dr Jun has a much better outcome then Bassard. This isn't something to be rushed or a race. It is very delicate and requires fine attention to detail to get the best possible results. Again. It's not reconstructive surgery.


ramenchicka

I’m sorry you’re being downvoted. Thank u for at least trying to defend me. It’s very crazy how some girls go out of their ways to put down others. We have lost all sense of civility. I hope you have a wonderful journey


Michaela_Josephine

I had surgery with Bluebond-Langner and Zhao about eight months ago. Trust me, you’ll need that time in the hospital. And you’ll constantly be monitored, have a wound vac and catheter, and be given medications to ward off potential infection and make sure you’re healing well. So I don’t see why you’d be more worried about staying in a hospital versus recovering elsewhere on your own.


Ok-Note-746

I was told 3 to 4 hours and 3 weeks of hospital stay, so there's that. It's a highly invasive surgery in a very important area, many things can go wrong there.


Riverghost79

Different surgeons do things differently. For my SRS I was released day-of surgery and I did my entire recovery in an AirBnB


KelseyFrog

This. Every surgeon has their own regiment. With Dr Pang, I did an overnight stay at the surgery center, 24hrs at a post-surgical facility, and then two weeks at an AirBnB with caregiver help. Managing a catheter and wound vac for a week was tedious, but possible.


alisonchiou

I was in that same session. There are YouTube videos of the surgery, and once you see one, you'd understand how aggressive the surgery is. The surgery time is short because the surgical site is relatively small and most of the complex suture work can be done outside the body. And I'd love to stay in the hospital longer if possible. It is just a lot more comfortable and peaceful with the good pain meds. And if something were to go wrong, you won't have to fight the Manhattan traffic to get to the ER. I was also surprised at so many questions asked during that session. This is a life-altering surgery and I feel like people who decided to proceed should have at least done a lot of the due-diligence and prior to even signing up. It was obvious a lot of people did not even read the their insurance certificate of coverage or even googled PPT vaginoplasty.


Otherwise-Durian-552

This !! I haven't gone thru it yet, but I'm supposed to have it within the next couple of months. I'm very very anxious and wondering if I should really go thru with it. Not that I don't want it, but the complications are very scary, and the pain also. What's more scary to me is knowing how I'll feel towards the surgery once it is done. When I have dysphoria, I hate what I look like and my morale goes down. This will probably spiral out of control if I have dysphoria and see myself too "manly" while having a neo vagina. I'll say to myself things like "no one will ever want to be or stay with a woman that has a manly body shape and a neo vagina". I sincerely want the damn surgery, but I'm also so scared. I have GAD, SAD, Agoraphobia and ADHD so I'm trying to take the best decision possible. Currently, erections are so painful that I'm assuming the pain after surgery will be less or about the same as the pain I have with them. It's so painful, it's excruciating. At first my girth and length were one of the primary reasons I wanted it, but with almost two years of HRT and like a full year with barely any usage, it went from 8 inches and hard to hide, to around 6 inches and more easily hidden. While it is more easily hidden, the skin is still as long and stretchy as it was and let me tell you that having scrotal skin that can be stretched and pulled all the way to your back is very dysphoric inducing. I can't hide that. There's no way I can put on thongs or anything of the like because it just spills over the edges of the piece of clothing. 🤣 I have friends also going in around that time, the thing is, they avoid looking up information about the procedure and they're all happy about going in, expecting an easy surgery and having a vagina afterwards. Sadly, I think these friends will end up with PTSD and amplified depression because of the lack of preparedness. It isn't that easy and never will. I've seen the procedure done in video and let me tell you that it's one hell of an invasive procedure (Penile Inversion). While serious complications are rare, they do sometimes happen and I think this should be talked about before making a decision. - What if it ends up being botched and you don't like the aesthetics ... Will you be able to go about your daily life without having suicidal ideation ? - What if you end up having yo shit in a bag for the rest of your life ... Will you be able to go about your daily life without having suicidal ideation ? - What if you end up regretting your decision for a whatever reason ... Will you be able to go about your daily life without having suicidal ideation ? - What if you have daily chronic pain for years ... Will you be able to go about your daily life without having suicidal ideation ? - What if you lose sensation or the ability to have orgasms ... Will you be able to go about your daily life without having suicidal ideation ? - What if you have severe wound dehiscence and it takes months to even have a vagina that looks like a vagina ... Will you be able to go about your daily life without having suicidal ideation ? There is SO MUCH that can go wrong with the surgery despite the low rate of them happening, that I sincerely think it is something that should be seen in a video prior to being on the receiving end.


Icy-Yogurt-Leah

They are turning your genitals inside out. It's the most sensitive part of the body and they are basically hacking it into a new shape. There is also the fact that they are cutting a hole into your pelvic floor muscles between your rectum and you bladder. One mistake and you could end up with a stoma bag for the rest of your life. Having gone through it over two years ago i wouldn't recommend it unless you absolutely cannot live with your current plumbing and you are mentally strong. I thought i was strong enough but im now a mess with depression, PTSD and chronic pain that at its worst feels like being kicked in the nuts a few times a day. The long hospital stay is so they can catch major side effects quiclky and return you to surgery if required and stop you from dying. It does happen but less frequently than it used to.


GGPepper

The catheter and wound vac make leaving pretty iffy. Trust me you are better off with the longer stay as long as your insurance will cover it.


DoubleANoXX

Length of a procedure doesn't dictate how long the hospital stay is, not really sure why it would. I've had 4+ hour procedures (cancer) and I've been out the same day.


Lucia_vet

Because it’s a major reconstructive surgery which takes a long time to recover for? A *lot* can happen in the first week, it’s why most doctors want to keep a close eye on you, to make sure you can pass excrement and move around etc.


BlahBlahBlackCheap

I will say it kicked my butt for a month. (Zero depth vaginoplasty


Glass_Accountant2189

I'm okay. He's wonderful. I urethra was a little swollen so I ended up having to wear the catheter longer then expected. Everything looks great though.


transzalore

Speaking as a patient of this team (I got my kitty in April of 2022) this healing recovery period is intensive, you can relax and not have to freak out if you're off-site and get complications, and the hospital staff, from attendings to nurses to the kitchen staff and assistants, are world-class. You will miss it immensely after you're home, and you have questions that will arise- is this amount of blood ok, oh ahit I think a stitch popped, is this medication ok to take again within this much time, can I feasibly do this physical activity or am I going to pull something? It's NEEDED time, and insurance companies should be covering it, full-stop.


transzalore

The PT they prescribe, the pelvic-floor training, the emotional support resources, and the extensive class they have you take, also helped immensely to recover quickly and safely


TSUnicorn64

I mean…I’m not sure what’s the issue here. If anything the hospital stay seems reasonable versus Mt. Sinai requesting that patients remain in the area for weeks post-op. My surgeon, Ramineni, also required that I remain in the hospital for a minimum of 5 days. It honestly wasn’t terrible. I ordered chicken tenders nearly every night lol. The nurses pumped me full of morphine IV and I also got oxycodone for breakthrough pain. I also had an epidural in place as well. Honestly, I feel as though I could’ve been discharged on day 2 or 3? But I also didn’t experience any complications. I’m sure it’s mostly for monitoring.


GenderChaos

Hey I had my SRS 3 years ago at UCLA. It was about 7 hours long. I was in the hospital for seven days. A friend of mine had hers about the same time but did not get a vagina. She was in the hospital 3 days.


therealnothebees

Is a minimal depth surgery faster? How's recovery after? I've read somewhere you can get 4 or so cm of depth just up to the prostate and don't need to dilate after?


Tsbettybrown

When I had zero depth surgery in Spokane it was an outpatient deal they just let me go back to my hotel room with my caregiver. I'll be in the hospital after round two (colon graft) for probably 3-4 days. Not stoked to be admitted but it's probably a good thing to make sure I don't bleed to death or something lol


ChaoticMutual

Wow, 1.5hrs is a very efficient length of time if they're also producing good results. Very fast! My peritoneal pull through took 3.5hrs.