r/Metoidioplasty

I had full metoidioplasty in the summer of 2024. My surgeon said I was an ideal candidate for surgery, and we’re both really happy with my results.

I have complete sensation, can pee standing up, and have a small bulge.

The only regret I have is getting monsplasty. I’m quite thin and it wasn’t really necessary, so I could have opted out of it. I don’t love having an extra scar.

I pump pretty regularly so my size fluctuates based on that, but I’m around 2-2.5 inches in length.

I’ve been in the gay dating scene since surgery, and most guys are really into what I’ve got going on.

Just a week ago I was melting down, thinking my simple meta was a botched fail, and people were so kind to chime in and tell me it was going to be ok and I needed to be patient and wait for the swelling to subside.

I appreciate those who commented so much and were voice a reason for me when I was spiraling about what I looked like a few weeks postop.

I thought it would be helpful to post that original photo along with what I look like just a few days later. I’m extremely happy now, am so grateful, and just wanted to repeat the wonderful words people shared with me. Be patient, focus on healing and health and give your body time to rest and sort things out. It can take 6-8 weeks and that may feel like forever but things will be ok.

Love ya’ll, stay safe, healthy and happy.

Just sharing a recent pic I took in some tighter fitting underwear. Not visible in jeans, but sometimes visible if I’m wearing tighter fitting shorts made of thin material, or exiting the water from swimming. A little over 2 years post op.

Hi guys, quick update after stage 2 meta with UL, v-nec and scrotoplasty.

There’s still some swelling on the pubic area and the scars are quite firm, tending to bury the base of the penis a bit, but I’ve been using a specific bio oil on them every day and massaging them, hoping they’ll soften up over the next few months. The photos were taken this morning, post-shower and post-balls shaving (always a bit terrifying experience shaving down there 🤣).

The penis is obviously at super rest mode in the photos. When erect, seen from above, it goes past my balls, so overall I’m actually able to penetrate my wife a bit, and she’s having an amazing time with my balls anyway 😬

Sex is fantastic. I have no idea what they did, but orgasms are way stronger now and I’m genuinely very happy about that.

The wound under the scrotum has finally fully closed and nothing comes out from there anymore… so I’m hoping I won’t develop any cysts, but unfortunately nobody can really know or do much about that.

What can I say — it may not be a cis penis like many of us wish for, but it definitely feels very natural, sensitive and fun! 😁

3 months post op full meta by Miroslav Djordjevic

1st surgery was initially metoidioplasty, urethral lengthening, vaginectomy, and testicular implants.
2nd surgery surgery was to lengthen my urethra more (it wasn’t quite at the tip of my penis), decrease implant size and do monsplasty.
3rd surgery was to fix fistula, lift penis up higher, lower implants and combine scrotum into one sac.

Finally happy with how my genitals look and function. I have unlocked a world of confidence, freedom and belonging. I hope everyone gets the chance to experience this euphoria.

the swelling has gone away... and i measured it. it's 3cm exactly like pre-op. i asked ubirajara if he's sure he can release some length after 2nd stage, he said yes, it's not the first time it happens.

honestly ive been thinking about phallo, but in order to do phallo and have at least some sensation in italy i think i should avoid monsplasty, and then i would have to redo my scrotum bigger... so it defeats the purpose of an eventual second stage. plus, i would still be peeing from the meto because they forbid to do burial and UL to the tip of the neophallus due to chanches of strictures.

an appointment with the surgeon in turin is 180€, and i decided to not go through at the moment. the idea of having maybe some more length and more visibility in the second stage, with my full erotic sensation, is appealing.

so i'm saving up for second stage, despite it's difficult because now i'm paying the loan for the 1st stage on top of all my expenses (testosterone, appointment with the urologists for the fistulas, things related to the gym, fuel...). i have around 1k saved. i don't know how much will it cost.

today at 14:30 i have an appointment with an urologist who work with metoidioplasty in pisa, (they're great, they do 1 metoidioplasty a week! wich shorten very much the waiting lists in italy... considering surgeons in florence and turin do an operation a month, between phallo and meto 😮‍💨) to ask if he can repair my fistulas before second stage, so they will be healed by the time i put implants. ill also ask if medium size will be ok on my scrotum in his opinion.

ive gone back and forth with the idea of phallo but ultimately i'm deciding to go forward with meto, despite being little. if i wouldn't have fistulas i could probably stand to pee, that was my goal afterall.

i don't think i'm able to penetrate.

i'm postponing to pump because ubirajara said to wait until second stage. i stopped dht scrotal cream years ago because it was expensive and after some months of application i didn't see results in size (i was pre op). should i restart for more months and see? when would i see results? should i start pumping now or should i wait until 2nd stage?

how can i stretch my sack in order to welcome implants?

thanks all

ps: i did my first session of permanent laser... because my pubic hairs completely cover the dick otherwise. the doctor was very particular and chatty. he treats people with hormones in croatia, because here it's obviously illegal. he treats also trans men. i traveled to florence. laser feels like a bunch of needles quickly entering the skin. he protected my dick and anus with a wooden stick and i wore some plastic glasses to cover my eyes.

This is why I had UL. Three dick surgeries because I wanted to be able to piss into Mountain Dew bottles. It has all lead up to this and it may just have been worth it. Not even a Gatorade bottle, yall, my urethra is so perfect I can go in an Evian bottle.

Hey hey 👋 just throwing up some recent photos up. I’m a few days out from the 6month mark. In December I took this body to the shop and got top surgery (double keyhole), metoidioplasty, hysto, vnectomy, scrotoplasty with implants. I did not get a UL this round because I was scared to not have a local team for any long term care that could be needed because of the high complication risks associated with UL. However, if all goes well I will be having the UL done as a stand alone procedure in December with a local surgeon.

I’ve included a few different angles and some with/without cock rings. One of my balls is pretty high up in my mons and I’m hoping the rings and massage it will help it drop before December so fingers crossed for this (pic 4 I think is one I posted without a ring).

Things I’ve tried that help Low dose cialis to help with erections: I was having a little problem with staying erect but I think between age (40) and the intensity of surgery it was to be expected. It helped a lot and I’ve been able to have PIV sex.

Pelvic floor work: I had dribbles and still do post op but it’s getting better the more my strength comes back.

Pumping: still figuring this out and I realized that the cylinder I have pulls one of my balls in so I need to figure that out.

Cock rings: helping to drop that ball slowly but surely. The learning curve was tel and I snapped (like with a rubber band) my balls more times than I’d like to admit.

Complications: Wicked hematoma on my left nut which lead to the ball probs

Wound separation: this happened around 6 weeks and was terrifying to see into the balls. But it healed with sufrexal, Tinolol, and rest.

Healing has been a journey, but overall I am pleased with my dick! My surgeon was Dr. Jess Ting from Mount Sinai in New York City. Stage 1 only consisted of simple meta with UL due to there being a misunderstanding that I had a partial vnec prior to surgery… that was a bummer but vaginectomy scheduled for sometime in June so I’m happy about that!! I had a minor fistula, shown in pics above that healed on its own prior to foley being removed. I only had one catheter which was the one inserted at the tip of my dick which was removed 3 weeks post Op. So far no issues with peeing and my stream is nice and strong… I am excited to see how my dick will look months down the road, I do plan on going forward with Phallo as part of my surgical plan but for now I’m enjoying the meta journey. Only time will tell maybe I won’t get Phallo, idk definitely have some time to ponder before stage 2.

Time to share mine. Procedure was done in 2021 by Peter Raphael with "Centurion" method where he incorporates ligaments on either side to make it thicker. No UL - I'm older and he strongly advised against it. I don't mind sitting to pee but I sure miss being able to ejaculate like a man. This pic is post pumping so it's at its maximum possible size and never gets hard just chubby. The Good: It *is* thick at the base; the implants look almost like single sack; the biomechanics (up down motion) are very masculine; the package is pretty much a handful and I love that feeling. The Bad: the main shaft retracted so about 1 inch of visible length is empty just loose skin (Raphael has offered to fix it); there's no visible glans and honestly I'm not even sure where the glans is. The Ugly: the top side is a mess. My clitoral hood had a deep 'V' in it and he tried to fix that with sutures but I don't like the look. I am going to try filler injections to smooth it out.

Hi! I’ve been considering a meta for quite a while now, but I’m wondering if anyone has maybe been in a similar boat here- I love the idea of it, but I wonder if it would ultimately be worth the money and the healing.

To me it seems like the tendon that is released during a metoidioplasty is already pretty loose on me- kind of like my dick isn’t super tethered to my body as it is now? I know the release of that tendon is a large part of the surgery, which makes me wonder if you see much of a result if it’s already pretty lax. I don’t plan on scrotal implants, and standing to pee isn’t all that important to me (although it would be cool).

I’ve also considered just getting a labial reduction for aesthetic/functional reasons, but I’m increasingly curious about a meta.

Has anyone had a similar thought process/experience? If you were kinda “untethered” or whatever pre-op and had the surgery, did other aesthetic changes feel meaningful to you? Length, girth, positioning, etc?

I attached a couple pics to hopefully explain what I mean by “tendon seems loose” lol

Just seeking some advice and fact finding for now- I haven’t booked a consult or anything, so I hope this kind of post is okay. If not I can delete. I really appreciate all the insight here.

Not a lot of people have gotten meta more than 5 years ago on here so seeing these results after 10+ years is really cool. I didn’t know the penis could keep growing from stretching and pumping so long after the initial surgery/s
Study here:
https://www.sciencedirect.com/science/article/pii/S2096691123000481

Stage 1 was 12/5/25 and included meta release and scrotoplasty, no UL and no v*nectomy

Stage 2 was 5/1/26 and included testicular implants and mons resection, as well as some scar revision under my scrotum at the entrance to my bonus hole.

Both were performed by Dr. Gallegos at the Boulder, CO Crane Center. I highly recommend this team.

I also did this stage without opioids, which I am happy to talk about with anyone considering a similar treatment plan.

I didn't take very good notes this time around. I've been somewhere between "trust the process" and just full-on dissociating. It is hard to see my body like this. It is hard to know that this could be the end of the journey if I'm happy with how things turn out. It is hard to know that I am in charge of making that decision. Aesthetics were/are my top priority-- does that, or the possibility of wanting a revision, make me shallow? What if dysphoria/dysmorphia never let me see my body accurately? You know, just trans things 💅

I kind of told myself I wasn't allowed to have an opinion of how things turned out until at least a few weeks post-op. I think this is both helpful for not obsessing/spiraling, but also contributing to some avoidance. I'm starting to see changes and I think I like where I'm headed, but yeah. It's just hard. IYKYK.

Anyway here's some pictures. Photos 1-3 are today, 9 days post-op. Photo 4 is 4 days post op. Photo 5 is 2 days post-op.

Disclaimer about photos 4 and 5: my dick is not actually that big! my foreskin swelled up like a bitch for the first week. That is all blanket and very little pig. The first 3 pics are a lot closer to what I'm typically rocking '.

Meta with V-nectomy, UL hookup, bifid scrotoplasty without implants

So, stage one eliminated a lot of my dysphoria. Stage two and the revision have been complicated, but they also really changed my body. And I will say that what I have is something I can work with, it’s just very different from what was there.

Me, to a friend: I hypothosized that taking nudes would make me feel better about my body—
Friend: That has never made me feel better about my body!
Me: Well you’re not a complete narcistist, are you?

I set up the tripod when I was doing my drain compliant modified shower and took some pics. …I’m starting to feel better about what I wound up with. I’m having a lot of feelings, but part of me is proud of what has been accomplished, possible. Even if it’s not what I had planned. Starting with a clothed pic tho

I still plan to get a photographer to take pictures of me when I’m fully recovered, but this is kinda encouraging in the meantime.